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Home My WebLink About1982 - 1983 BOARD OF DIRECTORS BUSINESS MINUTES Daia Thursday, May 19, 1983 Page; 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 C p.m, on Thursday, May 19, 1993 with the Chairman, Mr. Wyatt, presiding, Present: Absent; Or, V. R. Alvarez Miss Chris Doebbler Mrs, Mary Williams Mr, Ralph Havenhill Mrs. Cathie Farrar( Mr. George Hilz Mr, Blake Fortenberry Dr, Don Holt Mr. Jim Grant Mr. Brad Moore Mr, Dan Trammell E Mr, A. E. Wyatt Mrs, Gloria Madewell Mrs, Wilma Fritz JUL S 1 33 The minutes from the April 21 and April 26 meetings wore presented, reviewed, and approved, Old Business: Anesthesia Coverage--Mrs, Madewell reported that beginning May 31, there ill be five rule-f mo s employed by the hospital. A back-up call rotation for CRNA second call will begin on the same day. A back-up for third call byy anesthesiologists is still being worked on by Dr. Via, She added that Dr. Via is still studying a rough draft of a contract as Medical Director of Anesthesia, New Business: a finance Report--Mrs. Fritz reviewed the financial statements and discussed the financ a s a us o`"the hospital. She explained the improvement in accounts payable currently at $72,267 with the oldest being 61 days of age. She detailed the full- time equivalents by division, with the total for 1981 at 389, for 1982 at 410 and currently n 1983 at 422, She noted that the total salary expense yeart-to•date April 1982 has increased 15% to the current year-to-date. Accounts recievable currentl reflect 85 days, Mrs, Fritz pointed out on the operational statement that all revenue. producing departments showed a profit for the current, month, The Bad Debt Charge-Off List in the amount of .$42,108 and the Charity Charge-Off List in the amount of $20,149 were reviewed, It was noted that Baylor Health Care Systems had performed a survey of the financial departmentsi a report will be forthcoming, Mr. Hilz moved that the Finance Report be approvedl this motion was seconded and passed by voice vote. Safety Report--Mrs. Madewell reviewed the minutes from the May 6 meeting of the Safety omm t et-e She stated that due to a recent fire survey, the Safety Committee had reiterated their recommendation for additional storage areas, The incident reports had been reviewed by the committee. And the committee had recommended some solutions to improve the security situation of the hospital, Mr. Havenhill moved that the Safety Report be acceptedi this motion was seconded and passed by voice vote, p~ li„t,Y o n i it_v/Uti-lfzat-ion RevtU--Tho minutes from the May 10 meeting of this committee were prosented and reviewed by Mrs, Madewell, The consnittee had discussed discharge planning and a the results of ten recent chart audits of charges versus orders for the services, The statistics for the committee's review of Medicare, Medicaid, and non-governmontal admissions to determine appropriateness of level of care and/or nocassity for admission, Mr, Havonhill moved that the QA/UR Report be accepted, this motion was seconded and passed by voice vote. BOARD OF DIRECTORS BUSINESS MINUTES Dale May_19, 198 _ Page the Medical Staff Report.-Dr, Alvarez reviewed the minutes of the May 16 meeting of Me`di"ca xecu ve ommittee, He stated that the obstetricians plan to make a proposal to the City and County regarding the increasing drop-in obstetrical patients and to include the pediatricians, The Medical Executive Committee had recommended that a physician be appointed as Medical Director of Anesthesia and that the hospital employ CRNA's who would be evaluated by such a Medical Director, Dr, Alvarez presented the.following applications with the favorable recommendations from the Credentials Committee, the Medical Executive Committee, and the appropriate clinical departments; William Joseph Anderson, M.D,, Active Medical Staff, Orthopedics Joann Andrews, M,D „ Active Medical Staff, Pediatrics Hortono Setiawan, M,D,, Courtesy Medical Staff, Radiology Patricia Parker, CORT, Allied Health Professional Staff, Physician's Tech I for Dr, John Anderson Thomas N, Long, M.D., Home Health Hinton H, Hamilton, III, M,D,, Home Health Edward Kremer, M.D., Home Health Mr, Havenhill moved that the Medical Staff Report be accepted and also that the above listed physicians be granted appointment. This motion was seconded and passed by voice vote, Search Committee--Mr, Havenhill reported that the Search Committee has selected six audit one can ates to interview on May 23 and 24 and will then select four candidates to be interviewed by the entire Board of Directors, The date for the C final interview was selected as May 269 with announcement of a new administrator expected at the conclusion of the final interviews, Mr, Moore moved that the Search Commfttoe Report be accepted; this motion was seconded and passed by voice vote, CT Service--Mr, Fortenberry reported that he had mat with an engineer from the F1ori a p an uilding the CT scan mobile van, as well as with the City Engineer who had surveyed the power needed. He stated that he would try to have the site ready by June S. Mr, Havenhill moved that the Executive Committee of the Board be authoriz to make a selection of bids when received; this motion was seconded and passed by voic vote. helip,+10,1 He~11ad--Mr, Fortenberry reviewed the bids he hrid received to build a 25'x24' d outside of the Emergency Room exit. He stated that the 600 square feet plat- from would cost $5,150, the beacon for the tower $1,0951 and the 3-4 balls for the electrical wire would cost $66 each, He stated that the construction would be as sreubcmomme the hlipadvandiCT scan moved at tcould bbesdone rat the same time to save both time and money, This motion was seconded and passed by voice vote, The Executive Committee was authorized to review the new bids and make their selection,. Health De artme ,=--Mr, Fortenberry reported on each Item mentioned in the recon survey one by the Texas Department of Health. He noted which Items could be corrected by the Maintenance personnel and which would need outside contractors, He also noted which items have already been corrected and which might have been in error, After a lengthy discussion, Mr: Havenhill moved that the Board of Directors authorize Mr, Fortenberry to correct in-house any deficiencies possiblet this motion was seconded and passed by voice vote, Batteries--Mr. Fortenberry requested authorization to purchase $1529 worth of batt es or the Simplex fire alarms, He stated that the batteries are for the aad~9Te alarm s stem back-up Mr, Hilz moved that the batteries be approved for pur- chase; this mot on was saton8od and passed by voice vote, - Y` BOARD OF DIRECTORS _ I I— SU§INESS MINUTESY Dais = May 19~ 1983 Pege Microfilmin Propp~osal--A proposal from Professional Microfilming, Inc, to C micro m ~e me ca c`~harts from 1973 and 1974 at the cost of $5,014 was presented i ant' discussed. It was noted that Mrs. Nancy Howard had recommended approval of the proposal, Dr, Holt moved that the Board approve this proposal. The motion was seconded and passed by voice vote. 1 • RRA Consultant--A proposal to contract with a Registered Records Administrator on a part-t me ass at the rate of $12/hour was presented and discussed, Mrs, Howard had recommended this proposal and explained the necessity of such a consultant in orde to meet Joint Commission on Accreditation of Hospitals standards, Dr, Holt moved that the proposal be approved, this motion was seconded and passed by voice vote. Nos itai Van--An outdated bid for a new hospital van at the cost of $7,488 was presen e , Directors to apptarovlavalnhadhowevebeen notlpurchasedoar•itof was agrre~e.d_tthat this matter should be tabled until the next meeting, and sgedh statedrthatrshe Issworkingtonrtherbudgethcurrentlyof Shegstatedpthatishe, does not yet have a dollar amount of expected charity for the next year, nor are there any new criteria yet, Mr. Brant suggosted that the new budget include a birthing chair for the Birthing Center and possibly the employment of nurse midwives, Prevention Convention--Mrs. Madewell reminded the Board members that the hospital C is sponsor ng a Prevent on 'Convention on May 21 from 10;00 a.m, until 8;00 p.m. at the Bolden Triangle Mall. The meeting was adjourned at 9;45 p.m, for Executive Session to discuss personnel matters, At 10;00 p.m., the Board of Directors mot in Executive Session pursuant to Article 8252.17, Section 2 (g) V.A,T,C.S, The Board of Directors reconvened at 10;30 p.m. Mr. Havenhill moved that the request to employ an additional social worker be tabled; this motion was seconded and passed by voice vote, Mr. Moore moved that the request from the Denton Area Hospital Chaplaincy Board to increase the hospital's contribution for this program by $100 per month be tabled; this motion was seconded and passed by voice vote, There was no further business, and the meeting was adjourned at 11,40 p.m. Dan Trammell Secretary gm 'IBOARD OF DIRECTORS CA'' ED MEETING ~ 8 SINESS^MINIJTE MINUTES moo Pop The Board of Directors of Flow Memorial Hospital met in called executive ( session at 6:00 p.m, on Thursday, May 26, 1983 with the Chairman,Mr, Wyatt, presiding, All members of the Board of Directors were present, Present Mr. @RAlph Havenhill Mr. Dan Trammell Mrs. Gloria Mddewell Mr. George Hilz Mrs. Mary Williams Dr. Don Holt Mr. A, E, WyOtt Mr. Brad Moore Dr. V. R, Alvarez Mr, Wyatt announced that the meeting had been called to interview the four finalist candidates for the position of Administrator of Flow Memorial Hospital, Mr, Havenhill reported that the Search Committee had reviewed some 60 application and had interviewed 12 of the applicants. Of the 12, the Search Committee recommended four finalists. He reported that the travel expenses for the four applicants will be paid since they have now come foo two interviews, At 6:30 p.m., Mr, John M, Ferry from Albuquerque, Now Mexico was interviewed for thirty minutes. , At 705 p,m., Mr, Jeffrey Hausler from Monroe, Louisiana was interviewed for thirty minutes. minutes,8:00 p,m,, Mr, Tim Jackson from Lewiston, Idaho was interviewed for thirty C At 6:45 p.m., Mr, Roderick LaGrone from Holly Sp:,ings, Mississippi was interviewe for thirty minutes. The interviewees were present for their respective interview only. After some discussion, Mr. Havenhill moved that Mr, Jeffrey Hausler be asked waaccept Flow Memorial Hspital , Additionally, Mr, This Havenhill nmoved that if Mr, Hausler declined the position, that Mr, Ferry be asked to accept the position, This motion was seconded and passed by unanimous voice vote, Mr, Hiiz moved that Mr, Hauslor be paid at the rate of $47,500 per year until January 1, 1984 and then raised to $50,000 per year upon favorable evaluation of his voicervote, bMr. Hilzaalso moved that thehstandardnbewas nefitsobeeafforded s to dMry majorlt~ including professional membership dues, civic membership dues, educational leave and expenses, and moving expenses, This motion was seconded and passed by majority voice vote. Mr. Wyatt was asked to contact the four applicants immediately following the meeting, There was no further business, and the meeting was adjourned at 11:05 p.m. Dan Trammell Secretary i FLOW MEMORIAL HOSPITAL BOARD OF DIRECTORS CALLED MEETING TUESDAY, APRIL 26, 1983 APR ~ S i~A3 7;00 p.m. MEDALLION ROOM AGENDA I, Discuss and Consider Management Proposals/Affiliation A, Baylor Health Care Systems B. Harris-Methodist Health Systems C. Hospital Corporation of America IT. Discuss and Consider Position of Medical Director of Anesthesia and Certified Registered Nurse Anesthetists • IfI, Report on Progress of Bids for Installation of Back-up Boiler IV. Executive Session to Discuss Personnel Matters V. Adjournment BOARD or DIRECTORS CALLED MEETING BUSINESS MINUTES Oe~c 2 Aril 26L 1983 Pegs The Board of Directors of Flow Memorial Hospital met in called session at 7;00 p,m. on Tuesday, April 26, 1983 with the Chairman, Mr. Wyatt, presiding, All Board members were present. Present; Mr, Ralph Havenhill Dr. W. E. Coleman, substituting Mr, Jim Grant Mr,. George Hilz for Dr. Alvarez and Dr, Lockwood Dr, J. D, Harvey Dr. Don Holt Mrs, Gloria Madewell Or, W, M. Midgett Mr, Brad Moore Dr. f. J, Charney Mrs, Faye Nations Mr, Dan Trammell Mr. Lyman Daugherty Or, J, V. Palermo Mrs, Mary Williams Miss Chris Doebbler Mrs. Connie Rey r Mr. A, E. Wyatt Ms. Peggy Giese Mr, Warren Short Ms. Stephanie McReynolds Dr, R. T. Wilson Mrs, Kathleen Wolf Employee Benefits--Mr, Daugherty requested that implementation of changes in vacation benefits be delayed until May 30 to work on the mechanics of implementation, He also requested a delay in health and dental insurance changes until May 30 so that an adequate amount of time can be allocated to enrolling the employees, All other changes would be implemented May 2, Mr, Daugherty also requested that the percentage of vacation time be changed to exact numbers--i,a„ for two weeks, 3,06 ours per pay period. He stated that this change would allow employees on elected days off to continue to accrue vacation time, Employee meetings have been scheduled beginning on April 27 to explain the changes to the employees. Mr. Havenhill moved that the Board of Directors approve the changes as requested by Mr, Daugherty; this motion was seconded and passed by voice vote, C Some of the nurses present expressed concern that the proposed changes in employee benefits had been published in the newspaper before the employees were notified by the hospital. It was explained that this could not have been prevented in this case due to the subsequent moeting of the Board of Directors with the Plow department directors on the day following the approval of the changes; during the meeting and before the directors were to have explained the changes to their employees, the newspaper was released. Affilidtion Management proposals--The proposals from Baylor Health Care Systems, Harris`-T~ethodist Health System, and Hospital Corporation of American were reviewed and considered, The 'different aspects and their applicable benefits to Flow Memorial Hospital were discussed at some length. Mrs, Williams moved that the Board approval an affiliation with Baylor Health Caro Systems at the cost of $1,000 to be eligible for the shared purrhasing services. The three-year contracted offered by BICS could be terminated by either party with sixty days written notice. Dr. Holt seconded the motion, and it was passed by voice vote. In addition to the purchasing services, it was agreed that the BHCS should be asked to provide a two-day consulting service for the Medical Records Department and Business Office/Fiscal Affairs Department at an additional charge. Anesthesia--Tho recommendation from the Medical Staff to have Dr, Terry Temple employ CRNA's and to supervise the Anesthesia Department at no cost to Flow was disoussed, It was agreed that it would be beneficial to have an M,D, anesthosioiogis as Medical Director of Anesthesia to provide better supervision and back-up for the CRNA's. However, it'was not agreed that the hospital should relinquish this depart- menL to an outside contract. Dr, Holt moved that the Board approve the employment of a Medical Director of Anesthesia at the annual salary of $25,000 for the purpose of supervising all anesthesia within the hospital, including the Operating Room and BOARD Or DIRECTORS CALLED MEETING BUSiAIESS MINUTES oele April 26, 1983 _ . Pege 2 Labor and Delivery, and for the purpose of organizing a third anesthesia back-up / DDr. motion was passe coverage is voice needed ein the Labor and Delivery Suite due to the increased number of vaginal deliveries by women who previously had had C-sections. A second back-up call for nurse anesthetists was recommended as a solution to this problem. , Mr. Moore moved that the Board approve the Board Executive Committee to hire a Medical Director of Anesthesia at the earliest possibility and approve the employment of three additional CRNA's to make a full complement of five. k The Board agreed that by providing a physician Medical Director and employing an adequate number of nurses, the service would be accepted, Dr, Holt, Mr, Wyatt, Mr, Trammell, Dr, J. H, Miller, Dr, P,J, Charney, Mrs. Williams, and Dr, Alvarez were requested to decide on the responsibilities to be assumeH by a Medical Director of Anesthesia, Boiler--Mrs. Williams suggested that the bid from the Bedford company be seiecl;ed to re-install the fourth boiler as back-up. This was approved following a motiiiion~~[[by~QMr. Hilz, s sgesed hat the it Council assi court ~nvited fortdinnertonaMayu9gattthethospltalClnyob servancenofCNationalners Hospital Week. The meeting could be used to present again the obstetrical drop-in problem, discuss budgetary requests, and answer any questions that the City or d to the begCountinytomighihtnkhave. about 7 what Bpard they members wanteto presents togtheiCitynandeCountyasked, 1t was suggested that Dr, Miller, Chairman of the OB/GYN Department and representatives from'Baylor Health Care Systems also be invited to the meeting to answer any question which might be asked about the drop-in or the new affiliation agreement, dationsHma a by-the recentgsurveyorhfromnthecTexastDepartmenttofrHealthtregardingen- life safety code standards, Mr. Wyatt stated that he would ask a local architect to volunteer to do this. 58arch Committee--Mr, Wyatt appointed the following persons to the Search Committee; r, avenhill, Chairman; Mrs, Williams;' Mr, Moore; Or, Alvarez; and Dr, Nunn. He asked that they screen the applications and interview applicants and prepare their recommendation on what they felt were the three top applicants, Personnel--Mrs. Williams presented requests from departments for personnel changes ,e,, changing two part-time nurses to PRN status, changing two part-time physical therapists in Nome Health to full-time, elevating Nancy Howard to the position of Acting Director of Medical Records due to the resignation of Linda Brown, and to add a Licenses Physical Therapy Aide to the Physicial Therapy Department, It was agreed that all these requests should be considered by the Recutive Committee and either approved or denied by the Executive Committee, Room Retes/Revenue--Dr, Charney expressed his concern over the low hospital charges. He was informed that the Baylor consultants should provide a solution to this, Dr. Midgett also stated that it would be helpful to him and probably to other physicians for them to be informed whenever patient deposit requirements are changed, It was brought out that the difference between a private and semi-private room is currently only $5, and this will be investigated, BOARD OF DIRECTORS rAUED MEETING BUSINESS MINUTES Defs Peqo =x-=-- Anesthesia call pay--Mrs. Madewell presented a proposal to provide a guaranteed salary for s who o extra call work. She explained that they now get a percenta e of the anesthesia revenue they generate while on call. Most of the time, the per- centage is more than a guaranteed rate would be; however, whenever the CRNA is on call, and there are no cases, the CRNA's feel they should receive some compensation, It was proposed that they be guaranteed $10/hour while on extra call, and this proposal was approved. There was no further business, and the meeting was adjourned at 9:15 p,m, Dan Trammell, Secretary gm I 1 " FLOW MEMORIAL HOSPITAL / BOARD OF DIRECTORS MEETING !~'k a 1n~33 THURSDAY, APRIL 21, 1983 !:L 7;00 p,m, MEDALLION ROOM AGENDA I. Review and Approve Minutes of Previous Meetings II, Old Business III, New Business A. Presentation by Harris Met;odist Health System B. Presentation by Hospital Corporation of America C. Presentation by Mr, Walter Dick, Texas Department of Health Regarding Life Safety Code Survey D, Committee Reports 1, Finance Committee 2. Quality Accountability/Utilization Review Committee 3. Safety Committee E. Medical Staff Report--Dr, Alvarez F. Update on CT Scan 0. Review Bids for Boiler Installation IV, Executive Session to Discuss Personnel Matters V. Ad,iournment BOARD OF DIRECTORS ME"ING BUSINESS MINUTES Date April pdgf The Board of Directors of Flow Memorial Hospital met in regrular ession at b P,m. on Thursday, April 21, 1983 with the Chairman, Mr. Wyatt, pesiding, All members ers of the Board of Directors were present. Present; Mr, Ralph Havenhill Mrs. Beth Bandy Mrs, Birgit Morris Dr, Don Holt Mrs, Donna Boss MAY 2 a INC Faye Nations Mr, George Hilz Mr, Don Cuiliia Mr, Vincent Nico Mr, Brad Moore Dr. W, E. Coleman Dr. R. D. Nunn Mr, Dan Trammell Mrs. Sherry Foster Mrs, Pam Sisk Mrs, Mary Williams Mrs, Cathie Ferrari Mrs. Nita Thurman Mr, A, E, Wyatt Mrs, Helen Faulkner Mrs, Kathleen Wolf ' Dr. V, R. Alvarez Mr, Jim Grant Mrs, Gloria Madewell Dr, J, D, Harvey Mrs, Wilma Fritz Mrs, Debbie Kirking Mrs, Margaret Lester Ms. Stephanie McReynolds The ewed approved.miAlso, the from mithe nutes r from g the regular called Board meeting were meetingseon April 11,andd April 5 were presented, reviewed, and approved, New Business: Harris Methodist p esentation--Ms, Sandi Ross and two other representatives from the Harr s otaod s ea ti ystem were introduced and given the opportunity to make r a thirty-minute presentation on the advantages of affiliation with their organization, 1 Some of the highlights were that they could either purchase a facility, long-term lease a facility, provide management services, or provide consulting agreements, A 2-3 day on-site survey could be done at no charge to the hospital. A question and answer session followed the formal presentation, p sa t Al Cc orat n of America--Mr. Henry Johs and another representative from a Corora on o er caa sc Hos i ussed their options for a management contract with Flow Memorial Hospital. They stated that HCA is the largest manager of not-for-profit hospitals in Texas and that they could manage the hospital for and at the direction of the local board, They also offered to do a 2.3 day on-site survey at no cost to the hospital with the provision that they could then make a formal presentation rogard- ing their findings. A question and answer session also followed this presentation, as Department of Health.-Mr, Zenon A. P1hut Engineer for the Texas Department lth'a osp to an pro of Has essional Licensure Division, was introduced, He explained that he had been invited by the A minlsteator to perform an unofficial survey to see how the hospital complies to Hospital Licensing Standards, (2) Life Safety Code Requirements, and (3) National Piro Protection Association Standards, He noted that if a hospital is accredited by the Joint Commission on Accreditation of Hospitals or if a hospital is certified by Medicare, then state law exempts the. hospital from Texas Department of Health survey standards, Since Flow is accredited b!, JCAH, the hospital is, therefore, exempt. Mr. Pihut'9 findings were summarized as follows: (1) Lack 'of proper fire resistive enclosures and fire sprinkler systems in storag areas. (2) Improper egress to dead end(s), unprotected openings in corridor walls, improper fire walls, and inoperative fire dampers, BOARD OF DIRECTORS MEETING BUSINESS MINUTES ___Deft April 21, 1983 , 2 I = . _ - - v-°~ (3) Improper smoke and fire compartmentation. (4) Improper location of HUAC and inadequate maintenance on HUAC, 5 Inadequate size of some private and semi-private rooms. Mr, Pihut reiterated that the survey was not official and done only at the request of the hospital, Mr, Pihut answered questions following his remarks, , Financial Report--Mrs. Fritz reviewed the monthly financial report and statements, Average dolly census-'had been 89.3 for the month of March, and revenues had increased some 17% due, in part, to increases in rates from Labor and Delivery, Operating Room, Anesthesia Respiratory 'therapy, and pharmacy. The Bad Debt Chor,jp•Off List in the amount of 89,946 and the Charity Charge-Off List in the amount of $52,295 were re- viewed. She reported that the tax rate for unemployment had been increased 1.29%, ' causing an adjustment in March of $189000. The month of March had produced an excess of revenue over expenses of $70,494, with year-to-date currently being $128,647 excess of revenue over expenses. Accounts payable were reported at 59 days, Mrs. Fritz reviewed the current percentage in patient mix as 51,6 being insurance and 48.4 private pay. She highlighted the improvements in the Home Health Service census and that the department had had an excess of revenue over expenses for the month of March of $5,005, A written report from Miss Holly Hervey was presented. It was reported that total cash received for the present month +o date is now $760,000, She reported on the current balances in accounts payable as $73,434 due from February, $305,749 due from March, and $332,988 due the present month. Mrs. Lester reported on the improvements in the Credit and Collections Department. C She o~presse'd her optimism that the improvements will continue, She was reminded to he sura to get as much information as possible whenever the patient is admitted, Mr. Hilz moved that the Financial Report be accepted; this motion was seconded and passed by voice vote, uality._Accopntab_ility/Utilizgtion Review a or --The minutes of the April 12 meeting were reviewed by rs, adowelljw who explained a ne the activities of the committee, She noted that they had reviewed the patient questionnaires which had been returned by discharged patients, had reviewed the admissions and extensions of stay using appropriate criteria, and had reviewed one Medicaid admission which had not been ,iustified. The Report was accepted by the Board, S fat Re>ort--The minutes of the April 1 meeting of the Safety Committee were rev awed y rs. Madewell. She stated that they committee had reviewed 41 Incident reports, all of which were minor in nature. Upon recommendation of the Safety Committee, the empioyea: are to be reminded to report any broken or damaged equipment or furniture, Mr. Haverhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. Medical _S~~t~afff_agport--Dr. A',varez reviewed the minutes from the April 18 meeting of this irerea c`a xel~ect v Committee a I,e April 19 Medical Staff Meeting, He explained that the request from DrQu~~s~i to perform peripheral angioplasty has been delayed until Dr. Brown can appoint a sub-committee to review the request. At Dr. Littlp's suggestion and with the MEC's approval, he will investigate the possibility of expanding our trauma service and investigate the possibility of having specialty in-service for this project, in order to comply with new Medicare regulations, the MEC had approved a change in the Rules and Regulations to provide a pathologist's consultation on all abnormal test results, The MEC had reviewed a ti BOARD OF DIRECTORS 4TING BUSINESS MINUTES oafs _~pri]_l, 198= p"Qe-J- partial recommendation from the QA/UR Committee regarding a faster method of recordin discharge diagnoses; this will be further investigated, Or. Alvarez reported that Mr. Wyatt had addressed both the Medical Executive Committee and the Joint Medical Staff Meeting, and Dr. Alvarez stated that he felt the physicians were encouraged with the presentation and answers to questions. He announced that there are reported to be only six delinquent medical records at the present time, his addressed Dr. medilcal records. for letter was approved by the Board members and signed, r Dr. Alvarez further reported that the MEC had recommended that the Department of Surgery and the OB/GYN Department discuss the necessity of havingg a physician in charge of the Anesthesia Department. At their meeting on April 19, this had been discussed, and the Surgery Department and OB/GYN Department recommended that Or, Terry Temple be Medical Director of Anesthesia to supervise the department and to employ CRNA's at no charge to the hospital, Dr. Alvarez emphasized that the physicians strongly desired to have a physician i.r charge of the department and to have physicians take back-up call for anesthesia coverage, Mrs. Williams moved that the Me0cal Staff Report be acceptedl this motion was seconded and passed by voice vote, CT Scan--Mrs. Madewell reported that she had contacted Mr. Lummus at First Texas Medical about the status of the mobile CT scanner, No had indicated that the specifications should be delivered to Flow about May 15, with service expected to begin August 15, She suggt~osted that the specifications for the CT scanner be com- C pared to the proposed holipad area to prevent any overlapping, Boiler Re-Installation.-Mrs, Williams presented three bids to re-install une of the old bolT'srs so a could be used as a back-up. It was agreed that the Executive Committee should review the bids and make a selection. The meeting was adjourned at 9;05 p,m, for Executive Session to discuss personnol matters, At 9;15 p.m,, the Board of Directors met in Executive Session pursuant ;.o Article 6252-17, Section 2 (g) V.A.T.C.S. The Board of Dirocto,rs reconvened at 11;50 p.m. Proposed revision; to employee benefits were presented, Mr. Moore moved that department directors be categorized as "full time" with the new benefits for full time employaesl this nation was seconded and passed by voice vote. The proposed Lh ation benefits for full-time employees were approved, following a motion by Mr. re, The vacation benefits for part-time employees were deleted following a ion by Mrs, Williams, The sick leave benefits were approved as proposed following tion by Mrs. Williams, Jury duty benefits re unchanged, Life insurance fits are to be reviewed again in September; until then, they are at no cost to dmpart-time employees retirement will not benefits be t eligible. The unchanged holidays except that unchanged, Health insurance was approved as proposed, as was dental benefits, miscellaneous, Department directors we re allowed to keep long-term disability rance at no charge, A six months grace period for implementation is to be wed on vacation and sick benefitsl however, the new-accrual rates are effective next pay period, h BOARD OF DIRECTORS MEETING April MINUTES Dole A i 1 21 a 1983 Aega q Mrs. Williams reported that Mrs, Sid Graham had resigned as Public Relations r Coordinator, Mr, Hilz moved that the Board accept the resignation; this motion was l seconded and passed by voice vote. A proposal from Mr, Bill Hoopes to close the cafeteria on the weekends was discussed, The Board agreed that the cafeteria should remain open on the weekends and perhaps serve cold meals instead, Mrs, Williams reported that Blake Fortenberry had asked if he is to continue as Maintenance Supervisor or be moved to Director of Maintenance, The Board agreed that he should remain in the supervisory position for the time being, There was no further business, and the meeting was adjourned at 1:00 a.m. Dan Trammell Secretary gm e , Y~ ~TaNUtg7yn .t ' BOARD OF DIRECTORS EMEP'NCY CALLED MEETING BUSINESS MINUTES _ lbele__ ~iblLde 71 ri1_ll_ 19fl3 _ _ L. I 19 L The Board of Directors of Flow Memorial ,Hos ital met in called emergen ( at the call of the Chairman at 7;00 p emergency session Mr. Wyatt, presiding. p.m. on Monday, April I1, 1983 with the Chairman, Present; Mr, Ralph Havenhill Miss Holly Here' 8 1983 Mrs. Margaret Lester Mr, George Hilz Mrs, Linda Brown Mrs, Ann Sutton Dr. Don Holt Dr, W, E. Coleman Mrs, Kathleen Wolf Mrs. Sherry Foster Mrs, Faye Nations Mr, Dan Trammell Mr. Jim Grant Mrs, Helen Faulkner Mrs, Mary Williams Mrs. Beth Bryant Mrs. Mitzie Payne Mr, A. E, Wyatt Mrs. Joyce Re nolds Mrs. W11ma Fritx y Mrs, Debbie Kirkirig Mrs. Birgit Morris Mrs, Cindy Rey Mrs. Gloria Madewell Miss Chris Doebbler Ms. Virginia Burch Dr, R. M. Lockwood Commissioner Lee Walker Mr, Bob Cook Mr, Jerry Bryant Dr. George Boswell Absent; Mr, Brad Moore Mr. Jim Cardin Baalo~r~ Health Caro S stem--Representatives from Baylor Health,Care Systems were intro ud ceT r, oswe r, Cook, Mr. Bryant, and Mr. Cardin presented information regarding a shared service arrangement proposal. The background of the development of the holding company, Voluntary Hospitals of America, was explained, The proposal provided shared services, primarily group purchasing, through the Voluntary Hospitals of America under the sponsorhsip of Baylor Hospital, which is a flagship hospital. This proposal would allow the hospital to maintain local autonomy, The cost for 3oinin C the shared services was presented as $1000. Other services would then be made availabl on an optional basis at specific costs, T"s representatives answered questions from the audience. No action, however, was taken on the proposal, The Board of Directors agreed to investigate other such proposals before making a decision, Ca ital 5 q1U pme~~n~ Re nests--Three invoices for equipment already received were preson a an tilscusse , e nvoices were for the following equipment, Interbiomedle 1 transducers (2) for the ICU @ $1194, pressure transducer for ICU 0 $581, Vitatech monitor and recorder for ICU @ $8,966, Also, a request from the Nuclear Medicine Department purchase a Mr. adi~zemocost of ved that the 2Fowas undation presented. be asked to provide the $13,A33 for the four items; this motion was seconded and passed by voice vote, e11 a ~-A letter from CareFllte, dated February 22, 1983 was presented. In the service. wore suggestions for Mr. Haverhill was asked pvtoginthe vestigate gthetsuggestions eandomake a transfer at the next meeting. U date on Cash and Accounts Payable--Miss Hervey reported on the current cash recei r pril fis"$3TT';b00;" Tie"r~a orted accounts payable as follows. $115,000 for February; $309,000 for March; and $3509000 and $81,000 for April, or a total of $855,000, Additionally refunds payable currently is $34,000, Update on Collections--Mrs. Lester optimistically reported on the progress made that Pam hiredeaas~Supers r off Cr-edit andaCollectionseandpwill reportMtoswork onyAprilh25,be9n Credit Bureau Services will be utilized to find addresses of "skipped" patients and to report bad credit ratings on bad debts, BOARD OF DIRECTORS EMEncENCY CALLED_M_EETING BUSINESS MINUTES DA to - =XQA 0_y,_A~ page Mrs. Lester stated that she needed guidelines on criteria for designation of charity so that charity patients would not be placed with bad debts, Mrs. Williams stated that when she and Mr. Haverhill had attended the Texas Association of Hospital Governing Boards conference, this information had not been readilly available, They had talked with several persons, but the people had not known what criteria their respective hospitals were using, Mrs. Williams agreed to investigate this further, There was some discussion concerning the proposed legislation which would make counties responsible for medical indigent care provided to their residents in other counties, Ch- amerces--Mrs, Fritz reported that she had reviewed the charges to make the charges more compeTTtive, She explained that Blue Cross allows only one price increase per year at a set percentage. She stated that she would monitor all charges, Dr, Holt . asked what had been done about investigating a two-tier charge master, and Mrs, Fritz reported that no further work had been done on this matter. There was also some discussion regarding the possibility of changing from Blue Cross as Medicare mediator, E uipment--Mrs, Williams asked if anyone had a list of broken or non-functional equipment, a was asked to check with Barbara Johnson, Supervisor of Central Supply, who could tell her the condition of hospital equipment. Medical Records--Mrs, Brown was asked to report on the status of delinquen medic t ar o S, he stated that there are 7 or 8 physicians who have a number of delinquent medical records. Further, she stated that the Chairman of the Medical Records Committee has suggested sending a letter to those physicians strongly suggesten that they complete their ch9rts in a timely manner. She stated that currently there ar C four physicians who have had their admitting privileges suspended due to having delinquent records, She stated that she is rot currently monitoring the in-house records but will do this as time allows, Mrs. Williams asked if the Board of Directors could assist in any ways Mrs, Brown, hoa,nver, stated that it will take the physicians talking to the physicians to get the Job accomplished, She was asked how long it would take to bring the records up to standard, and Mrs, Brown responded that by the 20th of April, the number of delinquent medical records would be acceptable. service, CT~"s,AMedewellnstatedsthatashetwothe uldpInvestigateithisamatteroandereportabackg to the Board of Directors, Health De artment Surve - from -A question was asked about the status of the report pia Texas apartment o ealth regarding the survey which the hospital hod request d regarding compliance to life-safety codes, Mrs, Madewell stated that she would investigate this also and report back to the Board of Directors, The meeting was adjourned a`_ 9,45 p,m, for Executive Session to discuss personnel matters, At 9;50 p.m., the Board of Directors met in Executive Session pursuant to Article 6252.170 Section 2 (g) V.A.T.C.S. At 10:15 p.mLfforrevlow thBoard reconvened, Copies of a proposed revised employee benefit LdIstrbute'd ackagto the Board members to review and discuss at a later date, lso, ntal suggestions submitted by each department director were ind discussion at another time, Mthat the Board of Directors approve the letter written by r _BQARD OF D1RFrrOgS F,_NCY ~ly~x M TtNC_ BUSINESS MINUTES Ddt. _ ----------Monday,-Aprsi=11-9&3--- v.q. the Chairman of the Medical Records Committee to the physicians having delinquent medical records, This motion was seconded and passed by voice vote, .The meeting was adjourned at 10;25 p.m, t Dan Trammell Secretary gm I ri j i t j BOARD OF DIRECTORS MEETING BUSINESS MINUTES ow March 29, 1983 _ Pay. 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7;00 p,m, on Tuesday, March 29, 1983 with the Chairman, Mr. Wyatt, presiding. All Board members were present, Present; Present for-presentation only: Mt, Ralph HavenhiII Mrs. Wilma Fritz John Sho11 Mr, George Hilz Mrs. Gloria Madewell Jack Young Dr. Don Holt Mr, Leonard Watson Terry Lewis Mr. Brad Moore Miss Holly Hervey E Mr, Dan Trammell Mrs. Margaret Lester Mrs, Mary Williams Mr, A. E. Wyatt APR 2 it in°3 The minutes from the previous regular meeting of February 24 were approved as presented, The minutes from the March 3 called meeting were approved with some amendment, Old Business; Roo rt from Collection Agency--Mr, Jack Young and Mr, John Shell from Hospital Receivables Srv-ice, Inc. we~"In roduced, At the request of the hospital, Mr. Shell had surveyed the Admitting and Discharge Department, the Insurance Department, and the Credit and Collections Department with the following findings and/or recommenda bons; Admitting & Discharge--Enter admitting information directly into the computer instead of taking it from a paper copy and later entering it, insurance Department-Complimentary comments were made about its efficiency, Recommended securing a written verification from insurance companies, Credit and Collections--Mr. Young stated that this department needs improvements. Recommended using a systems analyst to determine what reports and tools are available on the new computer. Recommended using a work card/work shoot to record vital information on each account, Recommended training the employees regarding effective collection techniques. Recommended establishing collec- t1on procedures, Recommended staffing with only 3 collectors and 1 clerk, Mr. Young stated that for the foe of $250/day for two days, his services could be securred to train the employees and establish procedures, Re ort from Collection Aaent•-Mr, Terry Lewis was introduced, At the request of the hose to , rte, Lewis had surveyed the same departments with the following findings and/or recommendationst , Recommended using a ledger card system. Recommended sending original (not pre-printed) letters by series to past due accounts, He noted that presently the procedure is to not send letters to accounts less than $500, Recommended getting more personal information on patients, especially Emergency Room patients including the namr,. of the patient's parents, Recommended using an express promise to pay form which would be signed by the responsible party, Recommended using a guaranty form; this would not be necessary, however, for a spouse or minor child, even adoptive child. Recommended cross-referencing patients, possibly using one identifying number per family, In answer to a question from Mr. Moore, Mr, Lewis suggested that the Credit Bureau Service could be another effective tool in determining the credit-worthiness of the patient upon admission and later in locating "skipped" accounts, Mr, Watson recommended asking Mr, Young to provide the training sessions and review of procedures for the employees in Credit and Collections for two days at the cost of $250 per day. When asked about the current number of employees, he responded BOARD OF DIRECTORS MEETING BUSINESS MIlIUTES March 29,_~g$3_ _ _ _ Aeg_ e 2 that there are currently six full-time employees, including the director and on~- •e full- time Clerk, Mr, Havenhill moved that the 0oard approve the recommendation of the Administrator to secure two days' service from Hospital Receivables Service, Inc, This motion was seconded and passed by the ma,iority vote of 4 for and 2 against, Mr, Moore suggested that at the end of two months, if the collections problem has not improved, consideration should be given to hiring a finance diedrector who could be responsible for the Business Office, Insurance Department, and Crit and Collections. The Administrator agreed to try to help the Credit and Collections Director in the meantime, Financial Re ort--Mrs, Fritz reviewed the financial statements for the month of February. She no a that the average daily census had been 106,2 patients per day, producing an operational profit and an excess of revenue over expenses For the month of $110,239 and $59,153 year-to-date, The balance sheet reflected an increase in receivables of $234,000 and an increase in liabilities of $46,000, In order to bring accounts payable to a 60 day or less situation, she stated that $440,000 would be needed. She suggested using the $250,000 certificate of deposit and the $225,000 balance on this fiscal year's County contribution for the purpose of decreasing accounts payable to th(, 60 day or less status, She explained that currently accounts receivable is at 93 rays, She attributed the current accounts payable situation to the computer conversion by Medicare last May and June which caused the payables to stretch beginning 'fast August, The Administrator stated that with the $440,000 re- duction in accounts payable, the situation should be under control, unless collections decrease, the census decreases, or expenses increase. An additional safeguard to the situation, however, he explained is the increased implemented in Central Supply charges, which should incraase that dopartment s revenue by 25%; the increaaes in C x-ray charges; and the increases in laboratory fees by 10%. The revenues and expenses of non-patient care departments were reviewed by the Board, The Administrator stated that he monitored each department monthly to make sure that expenses and revenues are not out of line, There was further discussion regarding the loss in the Home Health Service; this will be reviewed further at the next meeting, The Bad Debt List in the amount of $108,131 and the Charity Charge-Off List in the amount of $28,903 were reviewed, Accounts payable was further reviewed, Miss Harvey was asked to detail the amounts due by months. She responded that all accounts are paid through November, 1982. Remaining accounts are as follows; December, February, $314,531; in addition, March bills will be duegInB~woJdanuary, ays. She6explained that the cash available is currently $46,000, not including the CD's of $254,000, $60,333 in a reserve bond account, and the balance of $225,000 due from the County for the remaining of this fiscal year, Mr, Havonhill moved that the Board approve the Administrator to use the CD's totalling $250,000 as collateral to borrow $250,000 from First State Bank at the interest rate of 12% and than to utillre these funds to pay the oldest of the accounts at the discretion of Miss Hervey, This motion was seconded and passed with only one opposing vote, Mr. Havanhill also moved that the County be asked to contri- bute the balance of the funds due this fiscal year, $225,000, as soon as possible and explain the need for the funds. There was no second to the motion, however. about 7tfee0financialeneedssofsthe hospital.-spercificallyuthelcaand sh flowtsitua mmis 81 tion,othes nead for a professional office building, and the need for some building modifications, There was agreement that this information , should be presented to the City and County BOARD OF DIRECTORS MEETING BUSINESS MINUTES 0410 March 29, 1983 p49,3 Foundation Report--The minutes of the March 24 meeting were presented and C rev Iewe e on y action taken by the Foundation had been to approve the usual bills for the gray scale ultrasound unit and CCU equipment. Dr. Holt moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote. Safely Ro ort--The minutes from the March 4 meeting were presented and reviewed, The A m n strator outlined the activities of the committee. The Report was accepted. ua11t Accountability4Utilization Review Report--Mr, from a arc meeting. a otedina a`representative froWat mStherTexaseMedicallnutes Foundation had addressed the committee regarding the new regulations for utilization review. Subsequent to this, a program has been planned for the entire medical staff on this subject, The revised Utlization Review Plan was presented and reviewed. Mrs. W1111ams moved that the QA/URC Report be accepted and that the revised Utilization Review Plan be approved, This-motion was seconded and passed by voice vote. Medical StaffRe ort--Dr, Alvarez presented and reviewed the minutes from the March`~f`~9 ca &uLto ve Committee Meeting, He presented five new applications which had received the recommendations of the Credentials Committee, the Medical Executive'Committee, and the clinical department to which the individual is assigned, Those applications are listed as follows: Active Medical Staff: James Terry Temple, M.D., Anesthosiology Courtesy Medical Staff: Gary D. V, Hankins, M.D., OB/OYN Allied Health ProfessionalaS niel M. taff: GarrettaSmith,DPA,OPhysician's Assistant for Or. Kelly Janis Smith, LVN, CST, Physician's Nurse Assistant for Dr. Kurrus 4 Additionally, an application for re-appointment from Dr. David W. Price, ENT, was presented and reviewed. Or, Alvarez reported that the Medical Executive Committee had recommended the following regarding the new hepatitis B vaccine for employees at Flow Memorial Hospital: 1) Provide at no charge to nurses and respiratory therapists a screening test for anti HBO and anti HBs; any other employee would be offered the screening test at cost (approximately $7)0 2) If the result of the screening is negative anti HBO, vaccine would be offered at cost (approximately $110) to the employee. Hepatitis B vaccine would not be recommended for employees who are positive anti Hoe. There was also a recommendation to allow Or. John Cuchia full admitting privileges [hour o the Neonatal Intensive Care Unit, Mr. Havonhill moved that the Medical Staff Report be approved, including the ive appointments and one re-appointment, the recommendation for Hepatitis 8 vaccine, nd privileges for Dr, Cuchia, This motion was seconded and passed by voice vote. Emergency Room Contract--A renewal contract from Dr. Oridger P. Little to continue o provae emergency physicians on a 24-hour per day basis at the rate of $34.00 per . Vdhtllemoved that the Adinisrator was thisrmotion, conded and passed by voice vote. s BOARD OF DIRECTORS MEr-TING BUSINESS MINUTES naie _h1drGtL2LA20- Pigs 4 McAllister Vendin Contract--A renewal contract with McAllister Vending Company was presente an-'i`sGussed, r. Watson recommended that the contract be renewed C based upon the favorable service. Dr, dolt moved that the Board approve the renewal; this motion was seconded and passed by voice vote, Docto+,s Dav.-The Board members were invited to attend the traditional brunch in honor o~""~Tctors Day from 7;00-10;00 a,m, on the next day, The meeting was adjourned at 11;00 p.m, for Executive Session to discuss personnel matters. At 11;05 p,m., 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 1140 expressed their concerns to the Administrator regardinghhisojob performanceianduthey overall financial position of the hospital, and he responded to the comments. At the end of thirty days, or more specifically at the next Board meeting, his performance is to be re-evaluated to see what improvements have been made, asked to notify the Board when the County funds are received soethaAdnirator tithetBoard can also make the decision as to how to spend the funds. The meeting was adjourned at 22;15 a,m, Dan Trammell Secretary gm r }t 1 BOARD OF DIRECTORS EMERY"'+CY CALLED MEETING BUSINESS MINUTES D..- Tuesday-, April 6,__1983___--_.=------ A"Qo The Board of Directors of Flow Memorial Hospital met in emergency session at the call of the Chairman at 7:00 a,m, on Tuesday, April 5, 1983 with the Chairman, Mr, Wyatt, presiding, All members were present, Present: Mr, George Hilz Dr. Victor Alvarez Mr. Ralph Havenhill Mr, Leonard Watson Dr, Don Holt Mrs, Wilma Fritz Mr. Brad Moore Mrs, Gloria Madewell Mr, Dan Trammell Miss Holly Herveyy Mrs, Mary Williams Miss Chris Doebbler taq A .'."'?i Mr, A. E. Wyatt New Business: .B.a_ylor Health Care S stems--Mr. Wyatt stated that he and Dr. Holt had been invited-to a or Un vers t`y`1`iedical Center to hear more about the possibilities of Joining the Voluntary Hospitals of America, He asked if the Board would approve the visit to gain more information, and this was approved. Dro discu -ins--It was announced that some of the obstetricians had visited the County Judge to ss the problem of drop-in obstetrical patients, It,was noted that the B Mr. Watson oard had informed the County last year about the increasing problem in this area, obstetrical sbadedebts, withf$132,OOOasubsequentlyhcollected, total He stated 4260000 that Ofor the time period October through'March, 82 there were 67 drop-in patients, and for October C through March, 1983, there were 59 drop-in patients. The problem also includes the pediatricians who take taro of the newborns. Credit and Collections--Mr, Watson reported that based upon the recommendations of Terry ew s an osp to Receivables, he had terminated the Director of Credit and Collections. The other employees in Credit and Collections Department have been cleaning up the files and spending more time on the telephone. Special attention is being paid to the balance after insurance accounts, 'rho cards as suggested by both Terry Lewis and Hospital Receivables are to be started today according to Mrs, Fritz. She also stated that the collection letters can be computeregenerated, The Administra- tor agreed to talk with Terry Lewis about the exact wording of the letters, The Administrator also reported that the Business Office is now getting as much informa- tion as possible upon admission of the patients, Mr. Watson announced that Margaret Lester has temporarily assumed the responsibili y for Credit and Collections, She was asked'by the Board if she needed additional help, and she responded affirmatively. Approval was given to hire a supervisor for the department, Mrs. Williams and Mr, Havanhill, who are scheduled to attend the Texas Association of Hospital Governing Boards meeting this week, were asked to check with other persons at other hospitals about their criteria for determining charity as opposed to bad debts The Administrator stated that it would be helpful to ask the City and County to ' pass a resolution that the City and County are responsible for charity care--all other patients are responsible fnr their charges. He stated that such a resolution would help in changing the attitude of some patients, Accounts Payable--Miss Hervey reported that accounts payable have been reduced from All December invoices have been paid. Outstanding invoices i^ BOARD OF DIRECTORS EMERGENCY CALLED MEETING BUSINESS MINUTES oe~e Page ,Z--_ for January total $138,800, outstanding invoices for February total $314,000, and March invoices have not yet been generated. She estimated that after March invoices have been generated, the total accounts payable may be between $800,000 and $900,000. She explained that accounts receivable is $3,600,000. Miss Hervey was asked to prepare an additional financial statement each month that would categorize the accounts payable similar to the aged accounts receivable report. Mrs. Lester was asked what outside collection agencies she would select, and she stated that she would delay this decision until after the supervisor arrives. Until that time, all collection efforts will be done by the employees. ICU/CCU--Mr. Watson stated that he will be meeting with Dr. Bhatt, Dr. Croissant, Dr, Holt and a surgeon to discuss the feasibility of combining the ICU and CCU to make them more cost efficient. They will investin•.1. .no cost of combining the units and, the possible cost savings. Home Health--There was some discussion regarding the reduction in Home Health Services s nce the opening October 1st of the First Texas Medical Red-Care, The Board agreed to closely monitor this reduction. Request from First Texas Medical--The Administrator announced that he had been contac ed by F rst Texas ed ca about- being placed on the agenda for the next meeting; he stated that he had asked them to contact instead Mr. Wyatt with the request. The Board agreed that if First Texas Medical wanted to present something other than plans for acquisition, it would be acceptable for them to be on the agenda., the meeting was adjourned at 8;00 a.m. for Executive Session to discuss personnel matters. At 8;05 ,,m., 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 8;20 a.m. Mrs, Williams moved that the Board of Directors terminate the employment of Mr, Leonard Watson as Administrator of Flow Memorial Hospital effective immediately, pay him all accrued vacation and/or holiday time, plus 30 days additional pay, This motion was seconded by Mr. Moore and passed by a unanimous voice vote. The meeting was adjourned at 8;25 a.m. Dan Trammell, Secretary C gm { BOARD OF DIRECTORS EME,PCTNCY CALLED MEETING BUSINESS MINUTES Daft _ 7uesd y _ADri1 5_, 198 P,9~ The Board of Directors of Flow Memorial Hospital met in emergency session at the call of the Chairman at 7;00 a,m, on Tuesday, April 5, 1983 with the Chairman, t.. Mr, Wyatt, presiding, All members were present, 4,. Present; Mr. George Hilz Dr, Victor Alvarez Mr. Ralph Havenhill Mr, Leonard Watson Dr, Don Holt Mrs. Wilma Fritz Mr, Brad Moore Mrs, Gloria Madewell Mr, Dan Trammell Miss Holly Herveyy Mrs. Mary Williams Miss Chris Doebbier t°a , 8 Mr, A. E. Wyatt , New Business; invitee for a"He y orh navers ty medical Centers tothearhmoreeaboutOtheHpossibdilities of ,coining the Voluntary Hospitals of America. He asked if the Board would approve the visit to gain more information, and this was approved. DroQ-Ins--It was announced that some of the obstetricians had visited the County Judge to discuss the problem of drop-in obstetrical patients, It was noted that the B oard had informed the 'County last year about the increasing problem in this area, Mr. Watson obstetricalstated debts, withfiscal $132t000year subsequentlythere collected, total stated 426,00n that 00for the time period October through'March, 82 there were 67 drop-in patients, and for October C through March, 1983, there were 59 drop-in patients, The problem also includes the pediatricians who take care of the newborns. Credit and Colle tions--Mr, Watson reported that based upon the recommendations of Terry Lewis an iosp a Receivables, he had terminated the Director of Credit and Collections, The other employees in Credit and Collections Department have been cleaning up the files and spending more time on the telephone. Special attention is being paid to the balance after insurance accounts. The cards as suggested by both Terry Lewis and Hospital Receivables are to be started today according to Mrs. Fritz, She also stated that the collection letters can be computer generated, The Administra- tor agreed to talk with Terry Lewis about the exact wording of the letters, The Administrator also reported that the Business Office is now getting as much Informa- tion as possible upon admission of the patients, Mr. Watson announced that Margaret Lester has temporarily assumed the responsibili y for Credit and Collections. She was asked ,by the Board if she needed additional help, and she responded affirmatively, Approval was given to hire a supervisor for the department, Mrs. Williams and Mr, Havenhill, who are scheduled to attend the Texas Association of Hospital Ooverning Boards meeting this week, were asked to check with other persons at other hospitals about their criteria for determining charity as opposed to bad debts The Administrator stated that it would be helpful to ask the City and County to pass a resolution that the City and County are responsible for charity care--all other patients are responsible for their charges. He stated that such a resolution would help in changing the attitude of some patients, Accounts Payable--Miss Harvey reported that accounts payable have been reduced from 1 665 to,637, All December invoices have been paid, Outstanding invoices 414 BOARD OF DIRECTORS EMERGF1`Y CALLED MEETING P+9• BUSINESS MINUTES Dale Tuesday, April 5, 1983 for January total $138,800, outstanding invoices for February total $314,0001 and March invoices have not yet been generated. She estimated that after March invoices ' have been generated, the total accounts payable may be between $800,000 and $900,000. She explained that accounts receivable is $3,600,000, Miss Hervey was asked to prepare an additional financial statement each month that would categorize the accounts payable similar to the aged accounts receivable report. Mrs, Lester was asked what outside collection agencies she would select, and she stated that she would delay this decision until after the supervisor arrives. Until that time, all collection efforts will be done by the employees, ICU CCU--Mr. Watson stated that he will be meeting with Dr. Bhatt, Dr. Croissant, Dr. Holt and a surgeon to discuss the feasibility of combining the ICU and CCU to make them more cost efficient. They will investigate the cost of combining the units and the possible cost savings. Home Health--There was some discussion regarding the reduction in Home Health Services" lnae the opening October 1st of the First Texas Medical Med-Care. The Board agreed to closely monitor this reduction. Request from First Texas Medical--The Administrator announced that he had been contacts by First exas ed ca about being placed on the agenda for the next meeting; he stated that he had asked them to contact instead Mr. Wyatt with the request, The Board agreed that if First Texas Medical wanted to present something other than plans for acquisition, it would be acceptable for them to be on the agenda. The meeting was adjourl:ed at 8:00 a.m. for Executive Session to discuss personnel matters, At 8:05 a.m., 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 8:20 a.m. Mrs. Williams moved that the B and of Directors terminate the employment of Mr. Leonard Watson as Administrator of Flow Memorial Hospital effective immediately, pay him all accrued vacation and/or holiday time, plus 30 days additional pay. This motion was seconded by Mr. Moore and passed by a unanimous voice vote. The meeting was adjourned at 8:25 a.m, i Dan Trammell, Secretary , gm i u 4 F L 0 W M C M 0 R I A L H O S P I T A L BALANCE SICNP MARCH 31, 1983 Current Assets: 1983 1982 Current Liabilities: 1983 1982 Cash--operating $ 19,852 $ 2280620 Current Notes Payable $ 452,090 $ 185,496 Interest & Sinking 170 71608 Accounts Payable 7$4,517 590,433 Reserve Fund 40,855 10,181 Accrued Payroll/Taxes 425,984 378,449 Repair Fund 200351 11051 Due Medicare 120,903 193,365 Group Health Insurance 1,000 11157 Fees Payable 193,712 193,751 r Investments/Board Designated 3091488 521,398 Bond Interest Payable 10,061 10,061 Bonds Payable 10,000 _ 65,o Total Cash & Investments $ 391,716 $ 770,015 Total Current Liabilities $1,9670267 $106160555 Accounts Receivable $3,7821936 $2,663,420 Other Liabilities: Less: Allowances 580 653 (224 212) Deferred Income $ 172,543 $ 174,527 Net Patlant Receivables a I Fffo ~ 1439t208 Long Term Notes Payable 319,067 500,564 Other Receivables 271,901 189,736 Bonds Payable 4200000 430,000 Inventories 361,461 265,556 Total Liabilities $2,8781877 $2,721,646 Prepaid Expenses 41,362 93,935 Total Current Assets $4,268,723 $3,753,450 Capitals City of Denton $ 3930165 $ 393 165 Property, Plant & Equipment: County of Denton 11696,871 1,696,871 Land $ 37,547 $ 37,547 Endowment Flow Estate 240,461 240,461 Building & improvements 3,067,385 31043,463' Fed. Grants, Hill-Burton 11868,91n 1,868,910 Furniture & Equipment 4 763 832 4 418 388 Federal Grants 256,371 256,37,,." i $,,J$g Pledges and Gifts 542,702 459$80 Gen, Fund Bal., Beg. of Yr. (291,266) (6860770) Accumulated Depreciation (4,421,749) (4,0291933) Current Year 129,647 272,881 Net Property, Plant Equip. $3,447,015 $3,469,465 'total Capital $4,836,861 $4,5011269 'DOTAL OPERATING FUND $7 715, 738 $71222,915 TOTAL OPERATING FUND $ 7 715,738 $7,222,915 Current Ratio 2,29 ; `PR 2 R 1,983 i' r } c r~ 0 Page 2 V L O W M E MO R. I A 1, If O S P I TA L ST'ATIST'ICAL ST'AT'I" Wr MARCTI 31, 1983 C U R R E NT' M ON T 11 Y E A R- T O- D A T )S P R I O R Actual t3ud et Actual budget- Year-to-Date Adult Patient Days 2,769 2 945 171 Average Per Day 89.3 95.0 94.9 17,290 0 17,020 93.5 Newborn Patient Days 468 ' 434 21204 21548 2,297 Average Per Day 15.1 14.0 12.1 14.0 12.6 Gross Patient Revenue/Pt. Day $502.32 $415.05 $434.31 $424.17 $377.62 Total Expense/Patient Day $402.36 $345.33 $366.25 $352.91 $320.18 Month Charity lead Debt Recovery October $ 51,473 $ 96,053 November $ 5,636 127,181 12709','4 9 496 December 61,228 1060636 Januar 6,566 February y 81000 990706 9,934 March 28,903 108,131 41092 52 22.9,5,., 89 446 762 8 Revenues 4.48 8.3% .068 . i Lb Y FLOW MEMORIAL 110SPITAL Page 3 STA'IE.MWr or OPERATIONS/MARCH 310 1983 8 of salaries Supplies 'total Direct Oporating Reven'ie Revenue & Benefits & Other Expenses Profit (Loss) Daily Hospital Care 16 $ 215,015 a-131,107 13,621 $ 144,728 $ 70,20 Psychiatric Care 6 77,295 361834 3,596 400430 36,865 OB/Post Partum 3 44,620 18,494 21194 20,688 230932 ICU 2 250150 19,287 61983 26,270 (11120) Nursery/NICU 6 070215 35,017 51119 40,136 47,099 Coronary Care Unit 2 33,465 30,643 41762 35,405 (11940) Labor & Delivery/Birthing Center 4 550098 27,757 7,164 34,921 20,177 Operating & Recovery 5 62,954 23x173 16,995 40,168 220786 Emergency )ow 3 43,981 18,129 27,142 45,271 (1,290) " Central Supply 9 127,292 81706 6B,493 77,199 50,093 Laboratory/Blood Bank 10 135,058 54,689 54,689 80,369 Radiology/Nuclear Medicine 6 86,472 1.61105 22,372 38,557 47,915 Pharmacy/IV 17 243,304 110396 44,789 560185 187,119 Cardiopulmonary 7 97,796 20,400 180402 38,802 58,994 Anesthesia 3 41,111 15,076 11,217 26,293 14,818 Physical Therapy 1 16300--- 6 780 1 432 6 212 8 088 Total ""Ian"`.." 1;32 -,196 i ;"$84 $ 30 1,97 727""954 4,'192 Deductions of Revenue $ (91,B20) $ $ $ $ (91,820) Charity & Bad Debt (1510546) -M (159,546) Eiriployee Health Ins, Expense 34,438 34,438 (34,438) Medical Records 601 10,943 10663 12,606 (11,999) Gift Shop/Grounds Maintenance 11682 1,646 11215 21861 (11179) Cafeteria 110514 . 26,397 280678 550075 (430561) Plant 15,924 67,081 83,005 (830005) Environmental Services 35,381 8,B07 44,188 (44,188) Fiscal Affairs/Data Processing 8,008 6,068 14,076 (140076) Business Office/Credit & Collection 21,811 100551 320362 (320362) Personnel 31680 11045 4,725 (40725) Administration 61731 30395 10,126 (10,126) Quality Control 2,969 239 30208 (31208) General & Administrative 510 51,240 51,240 (50,730) Depreciation 38 259 38,259 (38 259 FMTI M 61 50 V-T 8I~~ Wd'My Gain (Loss) From Operation V46 " 10 Non-Operating Revenue 26,412 26,412 Foundation 3 112 3 112 Total ~8Ir5 F-~6- ~ . roc;: ka.H , r FurY.'a ~~F Lyr l l FLOW MEMORIAL IIOSP I T A L Page 4 STA7'F!M¢, r OF OPERATIONS/ Year-to-date March 31, 1983 8 of Supplies Total Direct Operating Revenue Revenue Salaries & Other Expenses Profit s) Daily Hospital Care -TV- MM-1115 ,x,18 TF, i ~ ~;'~g60 Psychiatric Care 6 437,578 206,992 20,687 227,679 24 61 09e899 OB/Post Partum 4 313,785 113,763 19,849 128,6,12 1850173 ICU 2 162,975 113,401 20,214 f Nurser /NICU 15 29,360 Coronary Care Unit 3 386,07 109,762 37,266 2210028 159,097 Labor & Delivery/[3irlhln Center 3 238,,022 186x672 26,266 2120938 25,484 249,482 155,642 41,819 197,461 52,021 Operating & Recovery 4 284,440 1261,060 84,995 211,055 73,385 CP8 tgalcy Room 3 223,722 103,111 163,048 266,159 (42o437) Supply 8 5990577 46,977 267,526 314,503 285,074r't Laboratory/13lood Bank 10 767,220 339,296 339,296 427x924 Radiology/Nuclear icine 6 439,472 94,866 126,068 220,934 218538 Pharmacy/IV 16 1,225,948 70,786 273,768 344,554 881,394 Cardiopulmonary 7 550,113 1241223 106,612 230,835 3190278 Anesthesia 3 225',196 950123 47,969 143,092 82,104 Physical TherbLay 1 94,849 41F925 10,467 521392 32 457 Total '008 - ate, 68,569 5 j ~,6 077 , j213 Deductions of Revenue (404,394) (409,394) Charity & Bad Debt (916,046) (916,096) Employee Health Ins, Expense 147,622 1471622 (147,622) Medical Records 31295 66,301 15,363 81,664 (79,369) Gift Shop/Grourda Maintenance 101,916 90510 81745 180255 (71339) Cafeteria 68,101 158,673 165,508 324,181 (256,080) Plant 94,426 376,725 471,151 Environmental Services 206,011 591,251 265,262 (4710161) Fiscal Affairs/Data Processing' 46,836 32,443 790279 (265,262) Business Office/Credit & Collection 133,649 65,698 199,347 (19,279) Personnel 16,826 12,145 28,971 (199,397) Administration 38,599 15,399 530990 (28,971) Quality Control 15,309 3,869 190178 (53,998) General 6 Administrative 11963 (19,178) Depreciation 2450925 2450925 (243,962) 227, 431_ 22704~3~1 (227 431 $~2 6r ~mi,124 621264 $(J-p'" Gain (Lass) From operation (52,073) Non-Operating Revenue 161'998 Foundation 18 118 7z722 $ le Total $i,4~722 7~,06~ x,039;1G 6, ,4' I~ pS 1 Page 5 P L O W M E M O R I A L 11 0 S P I T A L SUMMARY Or CASH RWHIPTS AND DISBURSMITS MARCH 31, 1983 Current: Month Year-TO-Date Beginning Balance 6 r 12 - ` 0, Cash Received fromi Active Patient Accounts $ 1,0721461 $ 518100365 I Bad Debt Accounts 120762 43,436 Cafeteria 12 631 70,988 Appropriations/Donations 6,244 203,851 Other 281,886 558r667 Total Cash 385 904 $ 6,0' TOTAL CASII AVAILABLE Cash Disbursements3 Payroll $ 492,412 21963,961 Payroll Taxes 69,770 440,812 Patient Refunds 62,940 134,994 Capital Assets 9,797 117,028 Notes Payable 1.5,687 1050164 Other 787,377 2,9051210 Total Disbursements $ V 667 0 169 Cash Balance , Cash Investments 7~3 3 Total Cash 1 99 , ' f". Gross Patient Revenue $ 11390,928 $ 71454,603 Lessi Allowances (111.r.~5.8„0,) (502 (571) Net Patient Revenue ~=j 790348 $66,9511,93 Cash Received on patient Accounts $ 11072,461 $ 5,810,365 Lessi Patient Refunds 62 940 139 994 Net Cash on Patient Accounts 51675,371 Cash Received as a of Revenue 78,9% 81.6% E tl1w+a . Page 6 P L O W M E. M0 R I A I, 11 0 S P I T A L AGED ACCOUNTS RECEIVABLE SUMM M MARCII 31, 3.983 Primary Payor Current 31-60 61-90 91-120 121-3.50 _ _150+ Total 4 of A/R Medicare $ 348,058 $ 79,920 $ 16,904 $ 11255 $ 11336 $ 12,424 $ 459,897 13.29 Medicaid 143,438 27,479 10,211 14,527 3,104 81696 207,491 5.94 r glue Cross 60,814 52,574 5,142 42 11346 526 120,444 3.54 Comwaial Ins. 595,058 237,953 97,869 46,078 20,126 140446 110110530 29 .0',5 Self-Pay 295,639 1100536 180,060 123,369 106,3.87 281,127 10096,918 31.48 Balance After Ins. - 230,296 236,947 32,685 27,855 20,090, 46,932 594,805 17.04 $11673,303 $ 7451409 L342,871 $ 213,126 $ 152,225 $ 364,151 53,491,085 100.04 In-House 335a 721 TOTAL A/R,36_,_806 A/R by 4 47.94 21.44 9.84 6.14 4.48 10.44 Days of Revenues Accounts Receivable 85 In-}louse 7 Total 92 i wid~aew rai ' FLOW MEMORIAL NOSPITAI. AGED ACCOUNTS PAYABLE P898 7 MARCII 31, 1983 DEFERRED PAYABLES 0-30 31-60 61 TOTAL r-~ Trade Vendors 286,003 219,910 06,000 592,721 Fees Payable 82,739 4701304 440339 174,962 Accrued Payables 45,213 45,213 Estimated Payables 116,646 116,646 Deferred Audit Fees 18,750 18,750 Total 18,750 530,601_ 267,794 131 1 7~ 948,292 r~ I i .r Page 8 F L 0 11 M E M O R I A L 11 0 S P I T A L H O M P 11 S A L T 11 MANCE SHEOF MARCH 31, 1983 ASSETS LIABILMrS Cash $ 21,162 Accounts Payable $ Accounts Receivable 96,976 Payable due Flow 21426 $ 118,138 Accrued Payroll 71276 Inventory 1,844 Total Liabilities $ 9,702 Total Current Assets $ 119,982 EQUIPMENT CAPITAL_ Furniture & Equipment $ 11615 pledges & Gifts $ 115 Less Accumulated Depreoiation.(1,346) Gen. Fund Bal., Deg, of Yr. 1130815 Retained Earnings Current Yr, (3_,381) Net Equipment $ 269 Total Capital $ 110,549 r TOTAL OPERATING FUND $ 120,251 TMAL OPERATING FUND $ ___120,251 i ~i i Page 9 ' F L O W M E M O R I A L HOSPITAL HOME, H E A L T H STATEMENT Or REVINM8 AND r.XPENSCS MARCII 31, 1983 REVENUES Patient Revenues $ 31,961 $ 1870 170 Deductions of Revenue (30719) (42,477) Net Revenues $ 28,242 $ 144,693 EXPENSES Payroll & Benefits $ 20,488 $ 1250053 Purc, Service 818 41377 Supplier 536 8,460 Travel 1,169 8,826 , employee Benefits 226 1,089 Depreciation 269 Not Expenses $ 23,237 $ 148,074 Excess of Revenues Over Expenses $ 5,005 $ (3,381) a+; <av;. .~i.4'».hVeYO,.:aJS4$Ji'?kl I , ,e s ~lII 10;00:44 04 APR 1903 COMITY REPORT PAGE 1, `I PATIENT ...............PAT,ID..,, PT FC. GUARANTOR NAME::,.,, , ADDASSS.............. CITY..,.,.,.,, BY ZIP., DIB:DTE. AMOUNT,.,, I 76RO1 03/{6/83 61.75''"'"' I~ ASKINS,PAUL 40011611 OR CC DENTON COUNTY JAIL 8 MCKINNEY ST" ' pENrrpp~~ JAIL } mom COUNTY OAXIERoBOLONfi9 KNELL 40009804 OR CC BAXTER,DOLORE9 KNELL DENTON COUNTY JAIL 13 DENTON TX 76901 03/08/03 -48.00 1• D&NTON COUNTY JAIL DENTON,BCOTTY L 00006109 IP CC SENTON,SCOTTY L NT BOX 5857 DEN ON TX 76203 01/06/83 -130,06 J kl~ X S R£NAB, BOWLED,90WARD D 00000144 OR CC BOWLI9,EpWARO 2305 PT WORTH DR DEN x 76201 06/09/02 -46,00 P~RED. NO ASSTS J BROWN. REX R 00009977 IP CC OROWN,REX RT 1 BOX 362 6 DENTON TX 76201 Il/14/82-27,796,80 CROSB,LARRY NEAL 40000179 OR CC DENTON COUNTY JAIL 8. MCKINNIY 09NOVNj GENTOCARE JAIL76201 03/07/83 -79.75 I: ON C D6NNYrKENNETH 40008130 OR CC DENTON COUNTY JAIL DONTON COUNTY 'JAIL'- DENpTEtONNff YX 76201 03102/03 63,25 yl DENNY, KENNETH _ 40010043 OR CC DENTON COUNTY JAIL S. MCtt1NNEY BY _ DEM COUNTY V76R01 03109103 -40.00 y DENNY,KENNSTH C 70002094 OF CC D5NNY,KENNETH C 1714 SUMMIT DENKNON COUNTY JW L76201 03/03/83 -06.20 ' T VONTON COUNTY„ JAIL »4B, 00 l J DENNYr KENNETH C, 40010703 OR CC DONNY, KENNET-{ C, PUNTON CO. JAIL DENHpNT~n~T CC ll,,~~TTyyRiiNBRVA TX 76201 03/ 13/03 yl FLCYD,JANET M 00022418 IP CC FLOYD,PATRICK D WINTER HAVEN FARME W 75234 08/23/92 -427,94 GARIA,EDWARD 40006496 ER CC DENTON COUNTY JAIL DENTON DEkTONANCE AFT£A(,QI 1201 02/24193 -04.08 DENTON COUNTY JAIL I HALLrCONNER E' 10011070 1P 00 HALL,CONNER E P O BOX 491 1710'LIND'DENTON " 7X'7620! 03/11/63 ' -355,10"'-"' y'I HAMMOND, RUSSELL, LEE 40001166 ER CC HAMMON8,RU68ELL,LOS 2720 CHEBI LANE l00 TX 76201 02/05/03 -38,00 HORN,PHILAMAE V 00030274 IF CC HORN,ROBERT PO BOX 50023 DEN70NONT000NTY x7XL/6906 00/16/89 -5#271,55 `HOWARD, ARTHUR C 00033406 IP CC HOWARO,ARTHUR - 645 REDBUD LEWI D CAFTER MCDICl~ID67 03/17/82 -4,817, 50 I J II KNOPFEL. JOHN E, 40008682 OR CC KNOPFEL,JOHN I, DENTON JAIL DENTON TX 76201 03/04103 -56,00 LEWIS, KENNETH 40008336 ER CC DENTON COUNTY JAIL DENTON CO JAIL DEOWON COUNTY IN 176201 03/03/03 -14,50 MANNED, JACK -'40006009 ER CC DENTON CO JAIL MCKINNEY BT'' DINW11 COUNTY 176201 02/22/85 -103.00 ' COUNTY vao MCKELVA,JAMES 40004749 OR CC DENTON CO JAIL DENTON COUNTY JAIL DON~oN" TXL76201 04/19/03 y'I RAHBARNODHI,RAHIM 00059330 IF CC RAHBARNOOHI,RAHIM 1116 NORTH BELL 01 V9N9WOH COUHTWY,,li+L76201 01/04/83 -30.11 RAMSEY.MICHAEL 00055509 1F CC RAMBIY,MICHAEL` 909 S LOOP 288DENggTppO~~Npp'NCE AFTER TXR76201 12/14/82 10.00 RIYNOLDB,PAULA 00056671 IF CC REYNOLOM PAULA 1 310 SCRIPTURE D6NTONNC£ AFTER TNA76201 11/24182 -atl.SA RIDDLE, ' ROBBINBTJEAN6' # O0007232 OF CC OAD7737 IF CO RODBIN8rJ~6ANB p!! DILOHER QAiNESVIGLI T!R ~I IR76240 01/30/03 -13,60 $ AEIIAB {1I -W T 1 BOX 36 9 DSNTON"' OINit~ryA, 41C 7bp01 11/24/02 -29.90 y O ANCE AFTER AID ROBLE8,ANTONIO 00058362 IF CC R08LEB,ANTONIO 125 W WALTERS LEWISVILL.E TX 75067 12/97/82 -39.98 gpLANCE AFTER R ' ROL48,WALTER B 00055933 OR CC ROLLBrWALTKRR ? 100 8 RUDDELL 020 DINTfJN 7% 9~j69p01 11127/82 {0 00 l too 'CC AFT 1 WI RO98r VERNII J 00059253 OR CC ROSS, VERNII " RT 4 SOX 410 DINJJ~ANCE AFIEA ECIIf 1 09/10)62 -61, i~ ~ ,u.UV.Jb u4 nrn lYUJ CIIANI(Y REPORT PAGE a, -I PATIENT PAT.10..,, PT PC. GUARANTOR NAME......,..., ADDRESS,.....,,.,.,,. CITY,,,.,,.,., 8T ZIP.. DI8.DTE, AMOUNT.,. r i RUNIONB,BLOIE R 00059535 ER CC RUNIONS,BLOIS 623 N RUDDELL ...N' TTK 7bp0109/12/82 -16,00 BALANCE AFIER HEUICA[1)r SALAZAR,DANIEL 00059899 ER CC DENTON,DEV'CENTER 909 LOOP 200 DENTgO`N~ TXp 76201 01/21/03 -16.00 BCHERLER,BANDRA L1 00061044 IP CC SCHERLER,HAROLD 0 S POND DENTON . AFTER TV 6it01 09/13/82 »14.02 ll J ~ BCHERLER,BANDRA L" '00061051 Sp CC BCHERLEArNARtlLD B 8 POND -DtN g TAVRUPTCY_.__ TX'76201 00/27/02- -376, 97 0CDT7,OLADINE 00061549 IF CC 8CD7f,OLADINE 2126 BULIVAN DAL4A6KRUPTCY TX 75221 01/21/63 -74,90 ' J r, BCUTT, TERRY LEE 10004810 IP CC BCUTT, TERRY LEE P 0 BOX 247 AR096VIlCE AFTER WifAW6 02/11/B3 -454,95 J BEIDLE, Jl1LIE A OOOblOtQ IP CC BEIDLE, JULIE P, tl. BOX 21694 7NU STA DBNgp~~ TDM AUPTCY TX 76204 12/046/69 -42.74 ALANCE AFTER *Y~YYe,4iMM11YMlrl. 'ClOOfp~t4~f111'!=' J DECATUR TX 16"4 09/10/83 -10.05 r SNFLLoMAAY E 00067720 IP CC BYREETMVIROIE E BOX 613 HOMPBON RDA RACE AFTER WNW 01/00/83 -43.50 TILLIS,gMMA L 000469482 IF CC TILLIB,EMMA 2500 FT WORTH DR,056 DENTON TX 76901 08/04/02 -107.50 TUCKER, OEULAI4 H 00070367 Ip GC TUCKER,BBULAH M 009 PLUM STREET BANOHR 7894646 09/17/00 J ~I pLANNNC 7X E AFTER ++~~~~pIffi~O 46, 70 I. VNMATCHEDiCASH - R&LET 00070896 IP CC ,SIIIFLET, DON 1213 TULANEDENTgg~pNLL, 7~. *#RNTp~K~p00000 02/0!/03 3,602.05 J UNMATCHED, CASH NIX,ADELL 00070896 IP CC AIX, ADELL 500 RUDDELL, 1146 DENTON, TX. A'"TX 00000 02/01/03 -102,00 pLANCE AFICR yCy~I 1 !MM,AR2 »2q, 50 , VANDORORIFP,MARY B 00071233 1P CC VANDBRGR1FPrMAR,Y 2500 HINKLE DR DENI&ANCE /.fTER E01CAipt 01/19/03 WATK1Ne,AMANDA 00072736 IP CC NATKINO,BRIAN AT 5 105 AN000 LN "DENTnN TX 76201-02/02102 -27, 00 BENT CARE TX 76262 07/f0/6Q-14,75E 45 j ' Jil W91MEL,WINONA 00073114 IP CO WEIKBL,OTEPHBN P.O. BOX 305 RDAi• WILLIAMB,BOYCE A 00074617 ER CC WILLIAMS,BOYCE 114 AVENUE E APT 119 Dg1448AIAENT CARE TX 76201 12/31/02 -35.10 y BALANCE AFTER MEDICAID J WTLBOk4,IRENE 8 00075341 6R CC WILVON,tRENE 0 AT 2 BOX' 231 AUDREY TX 76227 01114/03 -10,00 BALANCE AFTER MEDICAID WOFFORD,WILLIAM,ALEN 40005060 ER CO CROWLOY,MARY,M AT A BOX 227 FRISCO TX 75034 02/19/63 -t0,00 WOODARD,PENNY A 00076034 IP CC WOODARD,MARCUB BOX 29 LAK6AbAlfjFTER 4X017A jo 01/24/83 -10.07 DALANCE AFTER HIIMR WRIQHT,JOBHUA W 00076406 IF CC WRIOHT,ANN 2211 W HICKORY 030 DENTtl TX 76201 04/22/O2 -227,65' r INDIOEN'f CARE La xzk~a zee J R_EIHBURSENUNT AFTER ACCOUNT CNAROEO TO CHARITY. ! 1 i , J 'I I ~ J p OV: Pb: P1 81 MAR S 1 ,80 UAD DrU'I wIi1TIS-Ovr fIGPQR7 PhUU 1 . I OVAR,CI7Y 8T 0-TIP 510.507E CUR. DAL. PAT.ID,,.. PT FC, DO OUARANTOR-NAME......... GUARANTOR-ADOR _ 4" pATtENL to LOCATE D 1. 50' LEw19VILLE .?R 76$01 Da/010/9$ 1 38 00 . ~ I pOpOTT,MON]CA A - 00001040 fiR 8P 3 MONICA AppOTT 1496 ICANA CRESCENT APTE Nab UNABLE t AGUS8pAE,KNAtTAp OOOOSOOS ON 8P 3 KHATTAB ADUIEBAE AMEN DENTON MOVED LEFT NO ADDRESS , LI S ACTON,VICKI D 00001099 OR UP 3 VICKI ACTON 103 CCDRANADD N1007 DENTON uN u'lTX OCATE i 0e/23/82 91.70 ARGYLE TX 76226 08/11/82 393 00 p 0 IiOX 276 NOYED LEFT NO ADDRESS ACUPPr£HGRRY tlOtlOll07 OP ADD 3 KATHY ACUPF ADAM3,CATlIRNIN£M 000Ol1l0 RR 9P 3 WILLIAM ADAMS RT 5 40T SAO TLMHP DENTON MOVED LEFT NObgBDRESS/13/9$ 63 7b TX 76201 08/15/02 45,00 I" > OOOOl l23 IP RAI 3 DOYCE ADAMS 1100 LOT SULLEMEAD DENTON _UNABLE TO LOCATE ADAMS, CORP.Y R J1 9539 CHAROLETTE APT 7 DBNTON TX 76201 0026192 20.00 00001347 OR OP 3 M A ADEDIRAN UNABLE TO LOCATE ADEDIRAN,LATURFA DENTON t% 7&401 08/01/82 30 40 V!' 00001461 EN ID 3 DAVID AAOUIL,AR 314 TEXAS ET AOPOINTNENT NOT KEPT i--~, AOUILAR DAVID Q rv~ AIIUWAN,MANtHA F 00001037 IP OP 3 ARRAS AHUWAN 1017 W PRAR19 Of DENTON APPOLNjMEHF NOi KEVT0/31/82 45,65 0000lb4e ER 8p 3 CHRIS AJAYI l13 AVE £ 0215 DENTON MOVED LEFT NO ADDRESS l09l9 00, 90 J AJAV1iWpLLAC£ TX 76201 12/29/82 2 103.95 4~. 2211 N DELL 0111. DENTON - MOVED LEFT 40 ADDRESS + AL,RNAL)PE ALIA 9 00001644 Ip 9p 3 KNAL.IFE fiABA AL URN RANCH N110.DENTON YYX 76201 08/05/82 % 76201 09/09/82 1'138 00 l pLEXANDGR,EU0EN6 00001769 Ip 10 1 fiUUUNU ALEXANDER AT D AC APPOINTHENT NOT KEPT In - ALEXANDER+WELCtAM 00001979 fip 8p 3 WILLIAM ALEXANDER P, O,OOX DENYON 336 UNABLE TO LOCATE c 41 3400.JDYCU ,026 ......._..DENTGN__ T% 76201 10/29/B2 46 00 AI.OHAM9(IPATIMAH H 00001909 IP RA1 3 HAMDAN ALGHAMOI NO RESPONSE TX 76201 09/04/02 22.90 ALQHUeSFIN,IBRAHIM 00001420 OR GAS 3 IBpAHIM ALOHUBOfiIN 2206 9THLLA N$ DENTON UHABLE,TO LOCATE 2210 HICKORY - DfiNTDN' TX 76x01 UNABLE TO LOCATE 01110/83 39.40 ALIPOUR,AH43AN -60001933 8R 8P 3 AFIBAN AL1POUp 7% 7&201 08/30/82., 541 13,-....~ 3000 ATLAS DENTON k0 RESPONSE AuEH.7pHTA A goo0a17o IP RAI 3 TOMMY ALLEN I 7"I $320 W FRARIfi APT 20$ DENTON TX 7620E 12/12/02 30.00 NOVED LEFT NO ADDRESS 1 i ALNAJJAR PUAD 00002386 [R 8P 3 FUnD ALNAJJAR 6AINEOV146E TX 16240 04/30/92 67. fly . _..I' 714 F10LD HOVED LEFT NO ADDRESS 11 AND£R41 4lIItiR1 R 00002539 ER ESP 3 LARRY ANDERB 7% 76014 t0/04/92 39. 60 ~!I ANDOR06N,OARY N 00002616 Ep UP 3 GARY ANDRROON 130 DURCH COPPELI UNABLE TO LOCATE 131, b0 I I 9206 BTELLA 8T 00 DENTON ECf NO 76201 0/99/02 ANDRADE,TMU1.iA 00002774 £R OP 3 JACOGO ANDRADE NOYF0 . L TX 00000 09/04/02 74.00 DUN 42 TWIN ~AKSS HHP DENTON , J ANDREW8,EDWARD C 00002840 DR ADD 3 BDWApD ANDREWS NOVEO LEFT NO ADDRESS TX 76201 07/16/82 2+071, 09 1112 fiAOLE D4 R #5 NC DENTON L l.! ANOELOGIANOB,FROOP 00002069 IP 8P 1 GEORGE AN09LOOIANNOU MOVED LEFT NO ADDRESS 39.00 _ + ✓ I - TROPICANA M07fiL M33H PONTON TX 76201 11/27/22 ANTHONY, OLUNN 00002907 OR BP 3 GLENN ANTHONY HO RESPONSE dI 000029&4 OP SP 3 MARK A ARANT 1905 HENDERSON M19 BRIDOEPONO RESPONSE 7&02& 00/Q7/Ea 38'00 ! ARANY,DIANE M IRVINO TX 7$062 09/20/02 38.00 , PENNY L 00003137 OR ADR 3 SAMUEL ARHOTRONO 37$2 JACKSON 9T NO RESPONSE 76901 11/07/02 74.75 ARMO IRUNO I J 2021 W pRA1R1fi N20S DENTON MOVED LEFT TX NO ADDRESS ARRAMAHI,NATEM A OOOt,iMbq BR Hp 3 HA7lM ApRAMAHI ARLINGTON % 76010 IL/OEI/O2 47,29 1 00003731 00 8P 3 DONNA AUSTIN 1400 GRACE HOVED LET NO ADDRESS J AUBTIN,DONNA D I 4~ 09: Rb: L'7 11 MAR 1903 HAD OF.11I I111I iit-wi; REPORT , ` I AOk 2 .f PAT IVNT- PAULA t . • • PAT. 1D.. , , P7 FC. DD OUAIIANTIIR-NAPIC......... GUARANTOR-ADDR....... GUAR. CITY.... , BT 0-21P D19. DATE CUR. VAL. , 00003962 ER 10 3 PAULA BADGER 409 E MILL DEN7ON pp TX 76201 09/!B/80 133.75 • BAtLEV,RANDY H 00004093 ER OP 3 RANDY BAILEY 1101 WOODMERE LEWIBVILN RESP01f 75067 08/25/82 38.00,_ BAKEIL JANICE 00004918 CA BP 3 MICHAEL DAIIER j AT Q POX ]R DENTON NO RESPO R 76801 12/06/62 41.75 DANBN,JANICE k0 RESPO~g~ _ 00004226 OP ADD 3 MICHAEL DAfifiR A7 2 BOX 12_ DENTON 7X 76201 11/W82 24,00.- , BAKER, TINA L 000042U3 ER Bp 3 TTP1A BAKER TROPICANA MOTEL #004 DENTON UNABLE T4>f0~/~ 01 12/23/02 55,25 DANDA,ALDERT 00004348 CA Oil 3 ALDERT BANDA 2503 W PAAAIE APT 18 DENTON MOVED LE{1XN~6r~dIRE5S/212/A2 38.00 J BANDA,ALOERT 00004346 OP BP 3 ALBERT BANDA 2307 W PAARIE APT 12 DUNTON !UNABLE TT~076L01 0098/01/82 101,20 N it BAHNBTT,JAMES k 00004655 CA BP 3 RICKY BARNETT AT 3 BOX 319E LB47I8VlLL8AOLf T %ITG7 08/17/82 66,00 1 UECK,PAT'fY A 00009309 OR 8P 3 PATTY DECK 817 ROBE DENTON UNABLE IWOOL 11/27/02 40.75 D9CK,PA7YY A NO RESPONSE. J 00005397 IP BP 3 PATTY BECK " 817 R0913 DENTON 7k 76801 11/26/82 445,30-'~ BECK, TFIRESA hl 00095413 OR BP a 7HNE9A DECK 1209 N LOTH BIR99T WICHITA. FALL RESPONSE 76J04 08/30/812 38. qQ , w ` AENNEIT,BRIINDA F. 40005969 OR OP 3 AODIN MADEWELL 3389 W. VNIVERBITY DENTON NO RESPONSE' 4 7k 76201 03/$1 /83 93,05 UENNETT, OAT, / E - " _,-UkADLE.T LOCIiE 00006072 fiR 1D 3 CAMILB BENNfi77 pD Dak i05>;y 0 • D6N7ON Tk 7 @Ol 0@/Q9/02 38,0 UETHANY,CARD, A 00006445 OR BP 3 OANY BETHANY Pa Box 151 NO RESPONSE / - -JUSTIN- _ TX 76247 08/20/82 p6, 50..._. ' DIDLE,DINE[illll E 00006510 ER SP 3 DINRSHIA BIBLE 730 ALEXANDRA NO RESPONSE DENTON TX 76201 09/19/02 42.6b--' ' DINg11AM,11ANK R NO RESPONSE J OOOO6640 ER ADD 3 DR. HANK 13INDHAM 128 E. OAK 01 DENTON TX 76201 11/07/02 39,120 BIBHap,JIM Q 00006703 ER BP 3 JIM RIBHOp 105 PARKWAY NOVED LEFT NO ADORESS / DENTON TX 76201 1 1 / 0,18,7 20. Co . DLAVLOCK,7ERRlE R 00007468 OP BP 3 MICHAEL ULAYLOCK AT 2 DOX 1017 DENTON NO RESPONSE P TX 76201 If/06/82 39. 50 QOCANCgRA,OERARDq 00007641 ER RA1 3 OBRARDtl DtlCANCORA 2282 LOUIBE APT 37• DENTON NGVED LEFT HO ADDE55 rT 76201 08/29182 10.00 ~Y J DtlEHM,MI 81ICA " 00007666 SA BP 3 MIU}iEA DOCHM PO BOX 1293 DENTON NO RESPOTXE 76201 08/22/02 J DOERNBR,MICHAEL 00007674 IP UP 1 MICHAEL DOCAN[R PD BOX 105 ESPO 74,60 ( J PILOT PDPArIM§€ 76::58 o9/2E/@2 00011.60 ~ . DRADFORD,UETTY J 00008425 1P DAL 1 OCITY J ORADPORD AT 3 BOX 1066 DECATUR' NQRESPONSE 76234 06/05/84 630.00 ,f i VRADY,VALCRY A 40003099 CA 913 3 CECIL DRADY 2000 PT WORTr, 115 DENTON No RESPONSE J J TX 76201 02/14/83 70,75 DRA00,WANUA J 00008565 ',p SAL 3 WANDA DRAOO RT 3 COX 357 DENTON UNABLE TO LOCATE ;1 TX 762U1 09/31/82 304.71 J BRANCH, KENNETH B 00000623 OP QA1 3 KCNNCTH DRANCII 220 HANN #a NO RfSPO11SE DENTON IX SE 07/02/20 29,42 " DRRNr,OHIRIi1y J 00008DR8 IP 0P 1 LEROY BRENT 1105 KERLEY Or DENTON NO RfSPOTXE 76201 08/18/02 1,261,20 J ORICC,BTOVE 00008961 OR @P 3 87EVE VRICE DDB S AUDDELL #160 DENTON NO RESPONSE 76901 08/05/02 51.05 DROWN,AABTHA D 00009696 0R BP 3 ARETHA DROWN 2500 SOUTH PORT WOhTH DCNTON NO AESPOTV 76201 01/24/03 72.05- I } UNABLE TO LOCATE ' I F L+ 09: 26: 34 7)I MAN JYUJ UAD DLUT WIIITE--ufF 0511ORT PAOE 3 1 L PATIENT PAT. ID.... PT f*C. 00 OUARANTON-NAME OUARANTOR-ADDR....... GUAR "fY..... BT 0-ZIP DID. DATE CUR, DAL,. DROWNINO PAMELA D 00010144 OR RP 3 PAMELA DROWNING 18:20 RUDDdLL AP7 120 DENI'L TX 76201 11/21/82 504.95 L UNABLE TO LOCATE DRUCE,KARVN 00010173 OP DP 3 KAREN BRUCE 2001 O PRARTE DENTON TX 74201 11/98/82 11,35 _ DUT72,C111DY A 000I1171 OR 8P 3 CINDY DU172 AT 2 DOX 027 AUADEY UNABLE TQ)~Offfig7 OD/f0/82 249. 00 CASN,MAg71N O 00011344 OR 8P 3 RALPH E CAIN 7t6 S CONOREBB BENSON NO RESP01 76201 10/06/83 38.00 1,k1 UNABLE TO LOCATE II CANALEB,CYN7HIA 00011569 1P ID 1 RAY CANALES 2405 LOUISE 017 DENTON TX 76201 09/05/82 1,000.70 UNABLE TO LOCATE 6,1 ,1 7 QOOII676 OR BP 3 MIKE CANTRELL (2007 TEASLEY LN 0206 DENTON TX 76201 10/12/82 38,00 ° f 1 __ONAW .TO LOCATE' CARTER,KA.REN 00012328 OP 8P 1 ALDERS CARTER PO BOX 1012 DENTON TX 76201 07/96/82 669,35 µ NO RESPONSE ( CAWTHQN,LECNARD D 00012666 ER DP 3 LEONARD CAWTHON PO BOX, V3 LAKE DALLAS TX. 75065 08/00/82 64.50...... 1r' CHANDLER, JOIINNY 00012781 ER DP 3 A V CHANDLER 21I 811ERMAN DR _ DENTON NO AESPO 76901 09/13/89 08,00 CHANUL&R TAMMY "00012007 ER BP 3 A 8 CHANDLER 1211 BHBRMAN DR - DENTON 'UNABLE 141MI '11/0082 38.00 CHANDLER, TAMMY F, 00012"815 BR BP 3 A E CHANDLER 211 SHERMAN DR DENTON MOVED LljX V6jWfld9/13/89 38. 00 Sg CHANDLER, TAMMY F 00019093 OR DP 3 A O CHANDLER 911 SHERMAN DR DENTON,' 110YEO LEjk H96~~AEJS~/14/89 38, 00 ' CHERRY, ANDRB 60012963 ER 8P 3 PAULINE LIPSCOMD 617 CHAMDORS - . DBNTON_ move' '43J 9690'4/16/02 70.75 V CLAfTItiOFiIC A 00013383 OR BP 3 ERIC CLARK AT 3 ROCKY POINT. MNp6 1.1T7LO.6h L _ RESPO Tx' NSE 76068 01/06/83 20.00 L CLEMUNO,AMANDA 00013091 OR 8P 3 JOHN CLEMONS MOTEL b, ROOM 99 DENTOH NO RESPOt 76901 19/12/82 70.76 + CLEMONR,DEDRA '00013039 OR DP 3 JOHN CLOMONS MOTEL 6 ROOM 99 DENTON -NO-AESPOIIE 746201 11/18/09 95,10 - 'LI I CLEMONB, JQHN 00013247 OR BP 3 JOHN CLEMON4. MOTEL 6 ROOM, R9_ DENTON NO RESPOt~ 76201 10/03/02 109. 75 I. 4,I CdLEMAN,MARGARET 02022997 1P ADD 3 MARGARET COLEMAN PO OX 9070 DONTfkJ p NO RESPOIV TX 76901 09/91/02 1t200 ~ CONNALY, ANN J 00014878 OP DP 3 EO,MOND CONNALY AT I JACKBBOROO AESPOgiE 76k0rF56 10/03/09 60. 00 k~ CORN,JUANITA L 00015149 1P ADD 3 MARSHALL CORN AT I BOX 40F NEWARK UNABLE IgX1.098P70 09/95/82 454.05 ,I l l~ CCIIN,JUANITA L 00013156 OP ADD 3 MARSHALL CORN AT 1 BOX 4fl F NEWARK NO 0 E5POtV 76070 09/21/82 53.70 / E CdRN,JUANITA L 00016164 1P ADD 1 MARSHALL CORN 312 B N CATES — DECATUR No RESP0IV 76234 10/01/02 1,290.75 L~ CRAWPORD,MARGARET A OOOI6n59 OR BP 3 MAROARBT CRAWFORD N.0. DOX 56 PONDER 81 LAKG DALLprQ~01NTNFftkT~i~0Y6f~i09l95/02 49.50 J ` CRAWFORD,MANOWLT A OOOJD067 OR 8P 3 MAROAAET CRAWFORD P.0.,DOX 06 PONDEO 6T LAKE DALLASfSPOlX 75065 00/t4/02 190.85 NO RESPONSE CRAWFORD,MICHAEL 00015075 ON BP 3 PATRICIA HOLMES 715 PONDER DEN7DN TX 76201 10/19/89 30.50 NSE 1v1~ CNOOS,CHERSL 00016191 ER 8P 3 JIMMY CROSS 608 N DRADUHAW DENTON NO pESP0YX 76001 00/01/09 93.50 JOANNA CROSS, L 00016147 IP ADD 1 JOANNA LE CROSS 2425 LOUISE 01 DBNTON NO AESPOW 76001 08/05/89 S,J66,15 UNABLE TO LOCATE CYRPPA7TI00016634 OR SP 3 RONALD OVA Jill W UNIVOO M 0806 DBNTON TX 74901 09/05/89 56,15 V UNAP, LE 10 LOCATE , V J i. f' 09: 26: 43 at IIAR lopa HAD UI]u HR1 fE-OPF 11LPQaT PAGE 4 i PATIENT,,,,, PAT. ]U..., PT FC. 0D OUARAN fOR -NAME......... OUARAN'fgR-ADDR.,..... OUAR,CITY,,,,. BT 0-ZIP 018, DATE CUR. DAL., DALTON,RICHARD H 00016790 OR SP 3 JIMMY DALTON 824 ROBE DENTpN 'TX 76201 10/11/62 78,00 tlALTON,aICHARp H 000161300 ON OP 3 JIMMY pALTON 824 8088 DENTpH,. NO RESPONSE TX 76701 09/29/82 30. NO RESPONSE DALTON,SUDANNA 00016816 OR BP 3 JIMMY DALTON 024 A089 DENTpN TX 76201 10/04/82 72,00 _NO.AESPONSE _ DALTpN,DUBANNA 00016824 ER SP 3 JIMMY BRETON 824 RgSE DENTON TX 76201 12/04/02 h1. 00 + NO RESPONSE DANCER,RONALD L 00016840 CR ADD 3 RONALD DANCER 926 MYRTLE DENTON TX 76201 10/30/02 99.70 AESPONSE DANILLB,RAVMONp H 00016980 OR Apo 3 RAYMOND DANIELS 216 E CEDAR FRANKLIN NO KY 00000 1!/07/02 92.00, j~ DARROUGH,CHARLOTTE 00017007 OR SP 3 GERALDINE HERRIN0 2800 FT WORTH DR #40 DENTpN "UNABLE„TINL7C6201 00/25/82 38,00 v' DAUGHERTY,DOROTHY 1 00017178 OR SP 3 EUGENE DAUGHERTY P. 0. BOX 70. LAKE DALt. NO RESPONSE 70060 08/Ot/B2 66,00 J NO RESPONSE ii r; DAVI8,ANGIE 00017330 ER 8P 3 DARLENE DAVIS 800 WELCH DENTpN IN 76201 08/07/82 30.00 J! J DAVIS,JOANN 00017467 OR SP 3 JOANN DAVIS 704 0 WOOD DONTON " N0 RESPONSE NO Af5p0 6201 11/19/82 38100 - ~l~E 7 DAVIS,LUCILLE C 00017041 ER 8P 3 LUCILLE DAVIS 042 MADISON AVENUE LEWIBVILLE IN 70067.08/28/02 43.00 J NO RESPONSE r DAVIS,RODSRT F 00017990 OR UP 3 RONALD DAVIS 2920 0 MCKINNEY DENTpN TX 76201 08/20/82 30.00 - __-_NO RESPONSE _ j DAVIS,RO06RT F 00017608 EA 8P 3 RON&n DAVID 2920 E MCKINNVV DSNTON TX 76201 10/12/82 77,00 50.'-- NO RESPONSE J DAVID,RO8E I 00017616 OR ADD 3 RONALD DAVID 2990,6 MCKINNEY DENTpN TX 76201 00/19/02 223,20 NO RESPONSE DAY,YVONNC 00017780 ER SP 3 RODNEY DAY 100 MANOR SANGER TX 76266 01/00/D3 76,10 1 NO.RESPONSE DELAROOA,JOSE JR 00018028 1P 8P 1 JADE OR D8LAR08A 932 D ELM #D DONTON TX 76201 08/30/82 1,121 00 APPOINTMENT NO KEPT. I / DHALLA,9AM 00010390 IP SP 3 SAM DHALLA 900 LONDONDERRY #226. DENTpN TX 76201 10/00/02 90,10 t MOVED LEVI NO ADDRESS DO086V,JIMNY L 00018012 OR SP 3 JIMMY D0695Y 032 N CHARLES LEWISVILLE , TX 70067 11/17/82 117.20 ~ DOBBEY,JIMMY L 00010020 1P 8P J JIMMY D008EY 03$ N GNARLED NO RESPONSE LEWISVILLE IN 70067 09/08/02 3,002,40 NO RESPONSE DOWNEO,AMANDA R 00018903 OR DAI 3 ALLAN DOWNED 109 MASDEY #11 DENTpN TX 76201 00/17/62 18,00 APPOINTMENT NOT KEPT , DOWNEY,MILDRED 00018929 OR ADD 3 MILDRED DOWNEY 120 E OAK DENTpN TX 76201 00/10/02 00.00 J UNABLE TO LOCATE J+f DUNCAN,DEVERLY 00019174 ER SP 3 BEVERLY DUNCAN 0217 SLAY DRIVE COLONY TX 70006 10/27/82 63. U0 r k DUNHAM, SHEILA A 00019207 IP 1D 1 6"ILA DU14HAM RT 4 BOX 160 DENTpN, MOVED LEFT 76201807/23/02 623, 60 APPOINTMENT NO KEPT y•~ DYGON,PATSY D 00019646 1P 8P 1 DELANO DYSON 1708 DOYD, DDNTON TX 76201 00/20/08 1,042.75 / t „ EDaON,RO0U6VELT 00019877 ER Sp 3 ROOSEVELT EORON 2805 LOVIDE 0101 NO RESPONSE DENTON TX 76201 12/13/82 67,00 , y EDWARDf1,DERRA L 00019943 OR OP 3 EUGENE EDWARDS 2800 FT WORTH DR 420 DENTpN NO pESPOTXE76201 00128182 50.90 J y EKPO,GAON K 00020060 IP BA1 3 KOKO EKPO BOX 9914 NTBU DENTpN NTOUBESPOYXE76203 09/13/02 344,00 yl GLDRGO,TINA LOU1N 00020172 ER 8P 3 THOMAS NUNG2 017 N W000 DENTON "APPOIN711TSMD/12/82 61.00. I NO RESPONSE J • h l , n "il ,l R t UAD DENT LIIiITE-IN'F REPnRI PAOV. 9 a9. ,nb: 1 rlnrl 12113 ' By 0-YIP Dis. i r l DATE CUR, DAL. . PAT 1ENL............. PAT.ID.... PT PC. DD DUARANTOR-NAME......... OUAItANTOR-ADDR...,... GUAR. CITY.. 7b201 10/02/82 72.60 y 00020906 EN ADD 3 TIIOMAS OPTING AT 9 DDX 1147 DENTpN No. RESPONSE EPTINO,THOMAS M ERWIN,OEl7FFREY i. 00090693 OR DP 3 BILLY 0WIN BOb W MASBEy DEN70N TX 76201 09/27/99, e b,40 NO RESPONSE TX 791206 05116/92 82 DALLAS 1~1 I ERW1tLMA%1NE C C002070) 1P 5P 5 MAURiNI: Kagp0L1NSK1 4bg00 DRYAN PKWY NO RESPONSE jl AT 2'ROYAL OAKS NRa DENTON TX 76201 09/06/82 21 b. 16 ✓ ERLJIN,RHtlNDA L 00020719 IP RAI 3 0003Y ERWIN NO RESPONSE ' I TX ~I pE51RFNUACH,OERARD R 00021691 IP RP 1 GERARD R FEHRENBACH 20L7 W SYCAMORE DENTON NO RESPONSE76201 10!06!92 2+469.10 pENtJELL,ELMA L 00031741 rR Br 3 ELMA L FENNELL 3407 QUAKER NC L.UBnaCK Tx 79419 04129/6, L09.10 NO.RESPONSE L4 QAdI TAXCO RD 0220 FT WORTH RESPO !2 / FINN,kAINNIF'ER A 76116 12/03/74 240.00 r J 00099079 IP 9P NO 3 EDWARD FINN LgWISVILLE YX 75067 02/09/83 46. Q6 V I~ RT.4 3401 WALTON DR DENTON ~I 03/#6/82 200.00 FODES KRISTINE,R 40001000 OR SP 3 KRISTINE FOBED, R 516 WRIGHT ANABLNif~f L%Wi 03/11/82 333.70 1• J FORO,JERRV W 800,72909 1p DAI 3 KENNETH FORD - DENTpN NO RESPONSE 76401,07/16/92 634.66 FORTE,VANJ27TE K 00022609 tp BAI 3 DOTTY FORTE 1210 MORSE . ~I 0300 FALLMEA00N.02117 DENTIN 7X pDU57,DRADLEY J 00022806 IP ))At 1 WILLIAM g FOU9T NO RESPONltf 76026 04/07/82 311.00._....' J 5303 BTEVgNB BpID0EP8R7 00023160 1P DAI T FRANKg,CHARMAINET 3 JDE D FRI.NKB APPOINTMENT NOT KEPT . LgWI5V1LLE TX 70067 01103!03 106. 76- . ' i "__-00023366 OR SP 3 LI13A FRENCH 11349 APPLEOAT9 UNABLE TO LOCE FRENCH, LISA L ' TX 76101 OB/21/92 92.60 %w. DGNTON FULLERi,JIrMY, 0 _ ..00023648 IP !JAI 3 JIM1lY 0 FULLER b0I3 MISE IDN NO AESPOSE 2219••!9 FT WORTH DR DENTON K 76401 08/31/83 616.02 ~ VI~ GAGLIARDI,JASnN 00023552 IF ADD 1 ELWYN OAGI.IARDI NO..RESPONSE 1+99?. 70 221? FT WORTH OR N60 A6NTON TX 76201 09104/02 00024141 1P 9P I LUIS GARCIA NO RESPONSE j GARCIA,LU[9 GARY 64a3 KINGS MANoR. ....l.AKB DALLAS TX 76066 06/14/S2 50.00. . 0ARY4WILLIAM C QQ0.24QiR IP RA1 3 WILLIAM NO RESPONSE TY 76R 0ASKEY,KIM0VRLY 40001091 OR SP 3 DAVID BURINOHAM, B 912 CARDINAL {10-11' _DENTON UNASLE.TQ LOCATE! 02/09/83 39.00 ~y J "ROANOKE TX 75262 00/04/02 Q3?. l0 ~I 00024544 1P SP 3 WOOLSY GENTRY AT 0 NO RESPONSE ORNTRY,TAMMY M 204 PRAIRIE. DENTON_ TX 76201 OQ/1J/03 47.10 0OOO80N,JIMMY A 40003643 ON OF 3 JIMMY A GOODSON UNABLE TO LOCATE . DENTON TX 76201 02/94/00 2,020.00 J ORAY+DILLY R 00096691 IF BP 1 O 1 1.L4 R GRAY AT ? BO% 1046 _NO RESPONSE - J 2421 6TUART OT WORTH TX 76101 00/21/92 69.00 I ~ ORGGN RpOBY J 00026773 ITR 9P 3 BOBBY GREEN UNABLE TO LOCATE 1 AT. 2 U6~rtl 00026831 BR OP 3 7SI1NY GREEN UNABLE 1'R L7b00 GALEN, 69TlIER M 1553 9 OAK 1 07/05/02 51031-09 f, I NO RESPONSE 00026969 OP DP 1 TRACY 0062ND TX 76201 08/22/82 54.64 yj~ GREENE,MARJORIE i 1 900 CAM BA9B APT He DENTDN Ii J I GREGORY, PAUL M 00027062 OR RAI 3 PAUL GREGORY NO RESPONSE 932 ELM APT A DENTdN Tk 76201 06/2002 105.15 y OUERRA,ANTHJNY 00027722 ON DP 3 ANTHONY OURERRA NO RESPONSE I ~ V' GUNDERSON, LAURA 0002702E 1P AAI 3 KALEN GUNDERSON 5045 89CAPARDO NAY cp6uAaro APPOINVENT NOT KEPT 43OPR CO 90917 /56/6? aD 9015 CHARLE8 6EABROOK 7566 01103/92 43. 31 I' GUNNCL9 CALVIN 00027047 lp DAI 3 RODRlCK GUNNELS NO RESPONSE J ;1r ,j 09:. 6. D7 .11 MAR 1403 DAD DE10 Lk11IC:-nFF REPORT PAGE 6 PAtIENT.............. PAT. In.... PT FC, DO OUARANTOR-NAME......... QUARANTOR-ADDR....... OUAR.CITY. OT Q-ZIP 018. DATE CUA.BAL., QUNTBR,REBECCA J 00027870 IP DAI 3 MARK 8 OUNTER BOX 10 LAKE LANE LAKE DALLAS TX 75060 11/13/01 24.70 APPOINTMENT NO KEPT GWINNUP,RENFE 40005694 OR WC 3 RRNEE OWINNUP 121 NORTHWOOD LEWISVILLE TX 75067 02/21/03 132,45 UNABLE TO LOCATE IIACKLER,FAYE 00028027 OP SI' 1 JOHNNY HACKLER P. 0. BOX 940 ARGYLE TX 76226 07/18/02 1,611.10 I , APPOINTMENT NOT KEPT HAO0AAD,RRVRY L 00028170 ER SP 3 LARRY IIAOOARD 418 THOMPSON LAKE DALLAS TX 75065 07/24/82 42,50 - ' ,I I NO RESPONSE 000128357 GR IV 3 JERRY HALEY 335 SLAP ST. APT.10... LEWISVILLE TX 70067 06/27/02 140.75 NO RESPONSE HALL,DONNY E 00020464 OR 813 3 DANNY MALL 1300 MILANA WAY CARROLLTON TX 75006 07/21/02 62.00 _ NO RESPONSE HAMI9ANIKSVtN L 00028712 OR 8P 3 pORIB HAMMAN 2027 DOWLINO GREEN DENTON TX 76201 08/13/02 47,50 NO RESPONSE HAMPTON,TAMMIO J 00026910 IF SP 3 RANDY HAMPTON AT 2 BOX 521 DENTON..... TX 76201 07/01/82 1,100,75 APPOINTMENT NOT KEPT I ii HANCB,JUDY A 00020928 IP SP 3 DOD HANCE AT 5 BOX J2451-2A ROANOKE TX 76262 08/20/02 $109.45 „J _ -APPOINTMENT NOT KEPT HANCOCK, AMY M "00020936 IP CAI I WILLIAM M 14ANCOCK PO COX 227 ALVORD TX 76225 02/65/62 31111.87 APPOINTMENT NOT KEPT FIANCOCK WILLIAM 0 00029017 OR 1D 3 DUSTER HANCCtCK BOX 227 AT I. LENtBVILLkPPOINTMEN NOTKE11/30/82 Jod. 00_~_ HANEY,RANDY O 00099066 OR SP 3 RANDY HANBY 1143 PODDLSSROOII. / _ _.._NA WPONSE HARDY,6UQ6N8 00029454 1P 1D 1 EUOEIJB HARDY PO BOX J205 DENTON TX 76201 03/10/02 1,187.90 APPOINTMENT NOT KEPT J HAAR 1131 CHER YL A _ 00029001 OP SP 3 CHERYL HARRIS BOX 906 121 LAKEVIBW..,LAMO AALLLAB TX 7¢065.08/31/82 35.00 NO RESPONSE f HARRIS,JIMMY 00009860 OR OP 3 JIMMY HARRIS 507 AUTIt - DENTON Tk 76201 0744/02 104.70 _ J APPOINTMENT NO KEPT HARNIB,SHIRLSY 00030007 OR RP 3 JAMES HARRIS 507 RUTH DBNTDNI TX 76201 07/24/82 103.25 NO RESPONSE HARRISON,SONYA _ 00030197 OR SP 3 RICKEY HARRISON 1008 SOUTH 5TH OTREET DANGERTX 76866 08/21/02. 149.90 HO RESPONSE HEIMANN,PATRICIA 00031062 Oil SP 3 NOYCE HEIMAN 110 RANCH MHP ROANOKE TX 76262 12/20/62 180.00 J YNABLE TO LOCATE HELLUMS.MARK J 00031138 EA 10 3 MARK HtLLUMS 3020 MONTCLAIR DENTON 7X 76201 06/09/82 51. E5 -I NO RESPONSE IJ J I~ HENDERSON, SHERRY 00031294 OR SP 3 RICKY HENDEASON 1146 STUART LEW18VILL8 TX 75067 01/27/83 19.75 ,,.~,Ja.. ;i UNABLE TO LOCATE IIENDKON,LUCILLE E 00031336 OR OF 3 LUCILLE HENDON J AND J MOTEL 121. LEWISVILLE TX 75067 07/0082 125.75 _iI J NO ACSPONSE HERNANDE L JULIFTA 00031690 IP DAL 3 ARMANDO 14ERNANDEZ 515 PRAMS 81 DENTON TX 76201 08/19/02 100.00 NO RESPONSE J HEBTAND,BELINDA 00031098 IP DAI 3 BELINDA HEOTAND PO SOX 10 TIOOA TX 76271 05/11/82 360,00 APPOINTMENT NO KCPT HICKB,ARCHEE D 00031997 ER 1I1) 3 EZELLA HICKS PO BOX 1053 DENTON TX 76201 05/07/02 86.25 f'I J APPOINTMENT NOT KEPT HICKS,BLIZABETHA 00032029 IP BA1 I DENNY HICKS 001 CORONADO 01069 DENTON TX 76901 05/30/82 732.40 APPOINTMENT NOT KEPT / HILL,OHARLIN K 40004005 fR 80 3 HFRBCRT HILL 512 CARDINAL ND-11 DENTON TX 76201 02/10/03 43.50 UNABLE TO LOCATE J 1101-T,CLIFFORD W 00033043 OR SP 3 CLIFFORD HOLT PO BOX 334 AUBREY TX 76227 07/11/02 142.25 NO RESPONSE HOOK6,08A 00033167 OR CAI 3 LIRA HDOKS D 8 A SOX 66 WEATHERFORD 1X 76086 07/27/02 18.00 NO RESPONSE J ._s I , 1 i. I . , . WTI' ii i'. l~ 04.27:04 'It MAN 1903 VAD UI:Rf WRITE-OFF nEpon'r PAGE' 7 ~I PATIENT PAT. 10.... PT PC. RD DUARANTOR-NAME......... GUARANTOR-ADDR,,.,.,, OUAR.CITY. ST O-ZIP DIS.DATE CUR. DAL.. 1 HUDDAAD, JAMES A 00033037 ER ADD JAMCS BBARD 2901 NO 20TH BT FT WORTH UNABLE TX 76101 12/06/02 90.15 l.i kU0HE0, ANN L 00034066 OR SP 3 PHILLIP HUOHES TO LOCATE 819 STANLEY DENTON _ TX 76201 00119/08 109.45 HULL, WANDA S 00034173 OR CC 3 WANDA HULL PO BOX 483 RHOME NO RESPTXS76078 07/25/02 139.00 __.NO.RESPONS£ JACK84N,JAMES D 00039097 OR Bp 3 ALTON JACKSON 021 N CAAROLL ~DENTON T% 76801 00/30/82 92,00 NO RESPONSE JACKSON, JOHN W... 00039139 EA OP 2 JOHN JACKSON 901 NORTH CHURCH 8T PILOT POINT TX 76250 07/31/02 92,00 1 NO RESPONSE ~ JACKSON, SANDRA 00035246 OR OP 2 ERIC MCCLURE 104 ROBERTSON ST DENTON TX 762.01 08/21/02 30.00 ~ ~I' _..UNABLE TO LOCATE _ JACO00,J8FF 00035337 an BP 2 DONALD JACKDOS 409 W ROUND GROVE RD LEWISVILLE TX 75067 01/05/83 95.00 ii JENKTNR,MANSHA,C 00035659 IP RAI 2 ROOGRT W JENKINS 1704 WHITE OAK OT OENTON UNABLE TX LOCATE 901 03/11/02 256.65 w t. JCRNIGAN,HARION 00039691 OP 10 2 WtI.LIAM JGRNIOAN 921 W OAK ST DENTON. :NO AESTXS76201 06/29/02 32.00 I __11O RESPONSE JDHNBDN,DSN H '60035057 OR SP 2 OWGN'JOHNSON J39 VALERIELAND - SHEIR14AN TX 75090 00/15/02 70.90 ° J JOHNBdN,OE001E C 00039069 OR 8P 9 DEN JOHNSON AT 1 BOX 320 E9p_03A._,MINERAL NO RESPONSE _NSLL TX 76Q67 08/28/02 46,95 NO RESPONSE NSfNJ MEN H 00039873 ER WC 2 DINOMEN JOHNSON AT 1 BOX 070 SP ;43A 'MINERAL W NO.AESPX 14067,08/18/02 291 15 J JOHNDDtJ 1.I PAA9LA 0003637b OR ID 2 nOY JOHNSON 1227 MCDONALO DENTON TX 76801 07/04/02 39,75 . APPOINN GLMA L 00036509 OR BP 2 WILLIE MANUEL 1235 MCDONALR K DBN7Qk ~E 1 101182 101.25 J 1r JOHNSON, VAN C 000365:19, GR 1D 2 VAN JOHNSON AT 5 B1LV0R DOMIJ 055 DENTON NO RESIR56901 06/19/02 44.00 J, _kO..AESPONSE JDKBDLOFINTUAG[E;OLAWU 70001242 OP SP 2 OLAHUNMI JOKEOLOFIMTUAD 695 LEMON AV8 N9P00 DALLAS— TX 76921 02/15/83 6l L, NMI UNABLE TO LCOATE / J0NE8,9n1CA D 00036030 OR ID 9 WILLIS MANUEL 1235 MCDONALD DENTON TX 76201 06/15/82 85, 25 I NO RESPONSE JONES.JASON. 00036921 IP DAI I TOMMY JONES 1808 REDWOOD— DENTON TX 76201 1l/05/81 608 86 J APPOINTMENT NOT KEPT II KARNES,RODIN 00037451 IP SP 2 MICHAEL: KARNES AT 0 BO% 310 AUBREY TX 76077 06124/82 451.80 ! APPOINTMENT NOT KEPT KATO,JANGT L 00037579 !P 8P 1 JANET KATO BOX 253 LITTLE ELM TX 75060 01/27/03 3,243,90 NO RESPONSE _.KBLLEY,.CATHY L ODO37697 IP RAI 1 GENE KELLEY .1123 JOHNSON _ _ _ QBNTON, TX 76801 04/96/88 512.38 APPOINTMENT NOT KEPT J V KIM,HYBKVUNO 00030281 SP SP 0 RAP KIM 1470 W SPRING VALLEY ATCHARDBDN ' TX 75080 04/06/02 634.66 MOVED LEFT NO ADDRESS i' MUnVNO,JAIME 00040912 SP RAI J JAIME MCRENO 214 W HASSEY DENTON TX 76201 00/01/82 457.75 fr MOVED LEFT NO ADDRESS „ NACO DANELL L 00044634 tP 0P 1 BARGEE MACE 1209 PANHANDLE DENTON TX 76201 00/03102 1,319 00 I NO RESPONSE NALLEY,BHBLLEY P 00049660 1P OP J 8119LLEY NALLEY AT 2 BOX 272 AUDREY TX 74227 0E/12/02 659.00 I J NO RESPONSE NEACE,OELINnA D 00049009 OP 8P 1 AnCi'E NZACk PO BOX 242 STONECREBT JUSTIN TX 76247 00/24/02 1,091. b5 I10 RESPONSE J HEWELL,PAMELA S COODOI07 OP ID 2 JONNY NEWELL „ 87 FOX CIRCLE DENTON TX 76201 07/26/02 185.65 NO RESPONSE, Iv NICHOLB,JENRY L 00050419 ER BP 2 JERAY NICHOLD 1937 DRAIRWOOD LEWISVILLE T% 750,67 07/11/H9 40.00 J MOVED LEFT 110 ADDRESS ri 1 09:~%;ll :11 MAR 1903 HAD OL•'111 WR111E-OFF R?:PQRT PAGE 9 PA7.1D,... PT FC, Db GUARANTOR-NAMC......... O1IARANTOR-ADDR....... GUAR.CITY..... ST 0-ZIP DI9,DATE GUR.BAL.. v PATIENT......, 14320 RUDDELL 0 09 DENTON T% 76201 10/10/02 41.00 NORMAN,14061N W 00050765 dP 2 ROIIIN NORMAN MOVED LEFT NO ADDRESS NOR'TbN,PA'Tp1G1A A 00092964 IF flP 1 DEM419 NORTON PO BO% 708 FRISCO TX 75034 09/07/02 2, 605, 90 I, NO RESPONSE r NTUOE, DEBBIE 00050930 OR DAI 2 EMMANUEL NTURE NT BOX 6564........ DENTON T% 76201, 09/24182 36, 00 NO RESPONSE ' ORAKPO,JOY C 00051557 IF ID 1 LAWOON I ORAKPO P 0 BOX 6727 NTBU DENTON YX 76201 00/01/02 565. 60 ' NO RESPONSE + ORONA,EDNA C 000011,L5 CH Gil 2 E, N. CRONA 2800 PT WORTH DR #73 DENTON T% 76201 OW 10/02 72,00 OOEI,WUBU FRANCIS 00051771 ON DAI 2 WUSU FRANCIS 0861.. P,O BOX 937{,..,_ _ .._..NTBU STA_.. TX 76200 05/20/97 18 00,_ NO RESPONSE NE1.i NO RESPONSE / ` LL,BILLY H 00059217 OR SP 2 BILLY PAN 500 CARROLL #254 DENTON T% 76201 09127/92 53 50 _.._KO RESPONSE PANNE PARKER,DONNA K 00052308 IF SP I GARY LEE PARKER 413 PALLMEAOOW APT L DENTON 140 RESPONSE6201 52/93/02 1,405.05 ~ ✓ PApKCR PBRRY l 00092373 ER SD 2 PERRY PARKER RT 2 DO% 309-A AUDREY._. TX 76227, 09122/82 60, 75_,,,' NO RESPONSE PARKER, VICKI L 00052449 OR OF 9 TOMMY PARKER 1915 09RNARD DENTON TX 76901 09/02/92 100.50 NO' RESPONSE 00052963 IP OF 2 CATHY A pARRIB 726 DERNARD Of 025 DSN70N '19 76901 01/17/81 459 95 PAARIO+ CAT11Y A _ NO REBOOK 9 11l N0RT1iNCBTOpRDNO 3449 05/11/82, 4%329 26.,..., _..00052045 IP SP 1 DAVID PAYNE NO RESPONSE PAYNG,ROSJG M J ,.I PEASE+VICIIf L 00052901 IP OF 1 VICKI PaAS9 610 W. SYCAMOR94PT 1 DENTON HO,.AE.POKSf 76901 04/29/82 9, 067.00 y J ' P90L,RAY 00053003 IF DAI 2 TERRY PEEL 406 N CHURCH DECATUR .NO RESPONSE6Q34 00/06102 1,55 25 J +i f PEPPER,OSN1_M _ 00053314 ER 1D 2 70M PEPPER BOX 31 201 SHADY OHOA LAKR_DALLA9 TX 75065 06/l6/B2 70,00 NO RESPONSE i PERBI,ALEX 00053330 ER ADD 9 ALEX PEAOZ 4001/2 N WOOD DENTON TX 76901 00/04/92 DD 30 ! UNABLE TO LCOATE _ PEYTON,LORINA 00053001 OR SE' 2 BILL.IE MCMANIS RT 2 DOX 1l0 SANGER NO RESPONSE6266 00/95/92 127.00 J yi PHILLI,PS,MURRAY 00053950 IP DA) .9 MURRAY PHILLIPS _ P. 0 BOX 575.,.. BANGER-. .-_-NO AESP9 76266 09/06/02 9b. b9, r' U PICA20,MIOUEL 00054007 OR SP 2 MIAUEL+PICAZO 015 N RUDDELL BUNTON NO RESPONSE 76201 09/14/02 131.95 PIERCE.d11AD 00054:-,, ii IF OA1 2 CARLENE PIERCE 301 LOOP 289 411.50 DENTON TX 76201 09/05/09 $T 95 NO RESPONSE .J . TX 1 PIRDAGLOU,AMIR T 00054209 IP ADD I NASSER PIRDAGLOU P B COX 83 NT6U.,BTA71 DENTON -•--UNABLE TO7COATE06/07/89 1, 115 00 FOLLEY,OAVIO P 40054494 OR 9P DAVID POLLEY P 0 COX 53'i KRUM TX 76249 09129/92 $5,00 NO RESPONSE PRATT,DANI L OD054789 OF 0P 2 .IAPIE9 PRATT 420 C SOUTH ST GIRARD 1L 62640 07/27/02 355.00 NO RESPONSE J PR1CE,kA9EY }t 00064074 IF 10 2 TIM PRICE „807 11 TAYLOR,_.. _,GAIN$OVSLLNO RE TX 7 240_09/10/82 445,50_..,^ RODEATS,NICY E 00088000 DP QP 2 NIOY EVDN ROBERTS 500 0 RUDDELL #140 DENTON NO RESPONSE201 00/09/09 77.00 J BHAVER,BAABAAA J 0006OL33 ER OF 2 EDGAR SHAVER 2425 LOU189 013 DENTON TX 00000 09/04/02 129.45 HOYED LEFT NO ADDRESS 9NGLTON, MALENDA J OOObV364 OR SP Q MALENOA 8HE4TON 430 PEBBLEBRODK_.- LOWI UNABLE TTx 70067 09/011(12 04, 2 5 O LOCATE / $PRADARY+TONYA 00065755 GR 9P 2 tONYA $pRADARY 1009 TYLER D&0700 MOVED LEFT NO ADDRESS / h I f 01:PI:0 31 BAR 0113 HAD D1;D'I Wft1TF.-1111• REPURT PACE 9 PATICNT PAT.IO.... PT FC. OD GUARANTOR-NAME........, QUARANTOR-ADDR,...... OUAR,CITY...,. 8T 0->1P D18.DATE CUR,BAL,. 1. I VALDD2,JUAN 00071007 OR 8P 4 JUAN VALOU 938 D IaLH APT C DONTON NO RESPONSE 201 07/25/82 122.125 MOVED LEFT NO ADDRESS Will TIANIL NALEY A 000074021 i1n 0074503 OP 9P l1 2 ANNA RANDY WILLIAMB WHITFIELD I 105 ACORN RANCH "1 C►tDRY O'.._.._. DENTON TX 76201 09/'12/00 51, 50 HILL1AMOrANNA P I. - . • •HOVED LEFT NO ADDRESS ' H1LLlAM8,0HHLL] 00074633 IP DAI I ELIIADETH WILLIAMI3 PO BOX 721 GAINESVILLE TX 76940 074 APPOINTMENT NOT/K 'r 5/82 784.14 i NIL80N,PEARLIE M 00075523 OR TD 2 PEARLIE WILSON 21'2 a RUDDHLL 028 DENTAN TX 76201 06/07/82 39.7'5 NO RESPONSE „ i WOOLVERTON,DARDARA„__.._ 00076141 IP 1D I CHARLES WOOLVERTON. wJBOX 201 LAKE DALLAI AESX70P60 04/20/62 1#121.20 NO RESPONSE ~.I WR10HTrHEATHGA J 00076323 OR GP 2 PHILIP WR10HT 1809 TYLER DENTON TX 74201 09/01/82 48.00 WRIOHT,SHELIA 00076513 IP OP 1 UnYD WRIOHT 207 RLM LE14I8VILLE TX 75067 05116182 1,115.85 . APPOINTMENT NOT KEPT'- r YCCN,DON. . „ 00076729 ER HAI 2 DONALD VECK_ 4118 DRIPjW00D_...._,. OENjpN - NO RESPONSE 76201 08/14/82 79.14.,, t, YORK,ALAHA 00076778 OR 8P 8 CAROLYN LEG 504 8 RUDDGLL APT 56 DENT'ON TX 76201 03/08182 53.95 7b203 07/11/04 03.00 YOST " YNO PEN ~I NO'NESPONSE ' YOUNOoHICHAEL 00076919 OR SP 2 MICHAEL YYOUNO 403 1221 COROEL AMARILLq OENTQDENTON{j NO REYX76901 07/20{82,•, 37 00 YOUNO,VANE88A F 00076968 Ip DP 1 VANE08A YOUNO PO BOX 1254 DENTON TX 76201 05/06/82 1r 279. 70 ~+j . _ -APPOINTMENT NOT KEPI 691946, 12 .J J V' + II %wo J I _ ly 5 I F L 0 W M C M 0 R I A L H O S P I T A L BALANCE Sir-23T APRIL 30, 1983 Current Assets: 1983 _ 1.982 1983 1982 Cash- Current Liabilities: ~erestratiog& Sinking $ 85,846 $ 165,466 Current Notes Payable $ 483,074 $ 185,002 g 170 14,315 Accowits Payable 631,492 592,862 Reserve Fund 40,855 2011.81 Accrued Payroll & Taxes 460,566 410,348 Repair Fund 20,315 11826 Due Medicare 120,903 175,381 Group Health Insurance 1,000 11074 Fees Payable 192,252 18317,13 Investments/Board Designated 305,464 521,398 Bond Interest Payable 13,414 13, ~4 Bonds Payable 10,000 65 ) Total Cash & Investments $ 453,650 $ 724,260 Total Current Liabilities $ 11911,701 $ 11625,220 Accounts Receivable $ 31906,298 $ 2,7740903 Other Liabilities: Less: Allowances (685 631) (246 152) Deferred Income 142,469 145,439 Net Patient Receivables ,2 01 67 ~_,M, 51 Long Term Notes Payable 307,289 522,598 Other Receivables $ 182,866 $ 198,259 Bonds Payable 4201000 430,000 Inventories 393,432 268,764 Total Liabilities Prepaid Expenses 76,893 59j428 $ 2,781,459 $ 2,723,257 Dotal Current Assets Capital: $ 41327,508 $ 3,8091462 City of Denton $ 3930165 393,165 Property, Plant & ai County of Denton 1,696,871 1,696,871 L Eq pment: Endowment Flow Estate 240,461 240,461 Buildin & $ 37,547 $ 37;547 Fed, Grants, Hill-Burton 1,8681910 1,868,910*~. g Improvements 31067,385 3,060,002 Federal Grants 2560371 256 Furniture & Equipment 4 769 981 81 4 468 793 Pledges and Gifts 552,202 459,3„o 42 Gen, Fund Ba1.,Berj, of Yr. (291,266) (686,770) Accumulated Depreciation (4,4601061) (4,064,919) Current Year 2441188 3591240 Net Property, Plant & Equip, $ 3,414 853 $_3 501,423 Total Capital ----v-j---- ~t S 91960,902 $ 91587,628 TOTAL OPERATING FUND $_7,742,361 $ 7,310,885 TOTAL OPERATING FUND C $ 71792,361 $ 7,320_.,885 , Current Ratio 2.26 I 4PLOW MEMORIAL 110SPITAL Page 2 STATISTICAL STATE!4% i APRIL 30, 1983 C V R R E N T MONTH YEAR-TO-DATE Actual Budget Actual P RIO R 1 Year-to-Date Adult Patient Days 2,770 21850 19,938 20 140 Average Per Day 92.3 95.0 94.0 ' 19,918 95.0 94,0 Newborn Patient Days 420 420 21624 Average Per Day 14.0 2,968 2,729 14.0 12.4 14,0 12,9 Gross Patient Revenue/ Patient Day $481.65 $429.44 $490.81 $425.39 $378.97 Total CVense/Patient Day $377.09 $356.84 $367.54 $353.47 $320.25 Month Charms Dad Debt Recover October $ 510473 $ 96,053 $ 51636 December 117,974 41446 61,228 1.06,636 6,566 January 000 February 28903 108,131 4,934 March 52,295 89o946 12,7062 April ~ 20 149 ~20 ~ g 16 021 vir RT `f Revenues 4.08 7.58 { .07% . s ii J FLOW MEMORIAL HOSPITAI, Paqe 3 STNIT. ENT OF OPERATIONS/April 30, 1983 ~ of Salaries supplies Total Direct Operating Revenue Revenue & Benefits & Other Cx c3nses_._ Profit (Loss) Daily Hospital Care 16 $ 216,160 $ 127,832 $ 8,165 $ 135,997 $ 80,163 Psychiatric Care 6 81,840 33,979 1,665 35,644 46,196 OB/Post Partun 3 39,020 17,295 1,818 19,113 19,907 ICU 2 27,600 16,372 2,879 19,251 8,349 Nursery/NICU 5 70,340 33,735 4,863 38,598 31,742 Coronary Care Unit 3 41,321 27,979 3,182 31,161 10,160 Labor & Delivery/Birthing Center 4 51,763 25,468 6,424 31,892 19,871 Operating & Recovery 4 58,670 19,804 12,234 32,038 26,632 ' Mnargency Room 4 48,637 16,075 27,158 43,233 5,404 Central Supply 8 109,762 8,183 49,524 57,707 52,055 Laboratory/Blood Bank 10 132,843 61,252 61,252 71,591 Radiology/Nuclear Medicine 6 79,917 15,396 25,814 41,210 38,707 Pharmaoy/IV 15 202,488 11,023 36,400 47,423 155,065 Cardiopulmonary 10 126,076 19,636 17,294 36,930 89,146 Anesthesia 3 36,676 15,675 8,183 23,858 12,818 Physical Therapy 1 12 804 6 269 1 B96 8 165 4 639 Total 0 , , , 2 6 , , Deductions of Revenue (82,651) (82,651) Charity & Bad Debt (136,286) (13&,286) Maployee Health Ins. Expense 22,806 22,806 (22,806) Medical Records 490 15,596 3,190 18,786 (10,296) Gift Shop/Grounds Maintenance 1,353 2,068 977 3,045 (1,692) Cafeteria 11,524 25,109 26,546 51,655 (40,131) Plant 13,376 39,241 52,617 (52,617) Environmental Services 33,566 7,924 41,490 (41,490) Fiscal Affairs/Data Processing 8,123 5,168 13,291 (13,291) Business Office/Credit & Collection 25,577 26,947 52,524 (52,524) Personnel 3,155 2,498 5,653 (5,653) Administration 15,147 319 15,466 (15;466) Quality Control 2,933 423 3,356 (3,356) General & Administrative 614 62,079 62,079 (61,465) Depreciation _ 38 312 38 312 (38 312 r i6 6) Gain (Loss) From Operation 86,409 Non-Operating Revenue 25,010 25 010 Foundation 3 122 --~---.-ti.~- 199 54~r..._ Total`1,1 9,0 5.9, 1 SO5, 81 1,04,552 ~3/c~1.22 FLOW MEMORIAL HOSPITAL Page4 STATU46WT OF OPERATIONS/YEAR - TO - DATE April 30, 1983 % of Salaxi.es SupplJes Total Direct Operating Revenue Revenue & Benari.ts & other Expenses Profit (Loss) Daily Hospital Care ` 7 '1,496,275 916, 50 901606 ,00 , 56 469;219- Psychiatric Care 6 519,418 240,970 22,352 263,322 256,096 OB/Post Part= 4 352,805 131,059 160667 147,726 205,079 ICU 2 190,575 129,773 23,093 152,866 37,709 Nursery/NICU 5 456,415 223,497 42,129 2650626 190,789 Coronary Care Unit 3 279,343 214,651 29,447 244,098 35,245 Labor & Delivery/Birthing center 4 301,245 181,110 48,243 229,353 710892 - Operating & Recovery 4 3430110 145,865 970220 243,093 100,017 Emergency Room 3 272,359 119,186 1900207 3090393 (37,034) Central Supply 8 709,339 5513.61 317,049 3720210 337,129 r Laboratory/Blood Bank 10 900,064 400,548 400,548 499,516 Radiology/Nuclear Medicine 6 519,389 110,262 151,802 262,144 257,245 Pharmacy/IV 16 10428,437 811809 310,169 391,978 11036,459 Cardiopulmonary 8 676,189 143,859 123,907 267,766 408,423 Anesthesia 3 261,871 110,798 56,152 166,950 94,921 Physical Therapy ~1 97 653 48 194 12 363 60,557 ~3,,,7,t096 _--.Wo T0 , 40 2r r 19 •r 01 86 ,01967 _ Thtal, Deductions of Revenue (487,045) (487,045) Charity & Bad Debt (1,052,332) (11052,332) Ehployee Health Ins. Expense 170,347 170,347 (170,347) Medical Records 31785 81,897 18,553 100,450 (96,665) Gift Shop/Grounds Maintenance 12,269 11,578 91722 21,300 (91031) Cafeteria 79,625 1831"782 192,053 375,835 (296,210) Plant 107,802 415,966 523,768 (523,768) Environmental Services 239,577 67,175 305,752 (306,752) Fiscal Affairs/Data Processing 54,959 37,611 92,570 (92,570) Business Office/Credit & Collection 159,227 92,645 251,872 (2510872) Personnel 19,980 14,64- 34,623 (34,623) Administration 53,746 15,718 '69,464 (69,464) Quality Control 18,241 41293 22,534 (22,534) General & Administrative 21576 308,086 308,086 (305,510) Depreciation - 265,742 265 742 (265 742) Gain (Loss) from Operation 0, 9 , 12, ;3; , , 35,336 Non-Operating Revenuo 187,008 Foundation 21,844 187,008 Total 21 949 ~j s, 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 RE(7!~IPTS AND DTSBURSEMWS April 30, 1985 Current Month Year-TO-Date f Beginning Balance $ 24,313 $ 2,175 f ~ Cash received rcmi Active Patient: Acoo into 3 1, 081,75f3 $ 6,8921123 Had Debt Accounts 16,021 59,457 Cafeteria 12,053 83,041 Appropriations/C',onations 84,500 290,351 Other 56,851 6151518 Total Cash 1 251 183 7 940 490 TOTAL CASH AVAILABLE $ 1,M,'496 Cash Disbursementa: Payroll $ 455,526 $ 31419,487 Payroll Taxes 69,207 510,019 Patient Refunds 45,838 180,832 Capital Assets 10,742 127,770 Notes Payable 18,460 123,624 Other 592,882 31498,092 Total. Disbursements 1 192 655 7 859 824 Cash Balance Cash Investments 8 309,488 - Total Cash _ 3921.329 - G... Gross Patient Revenue $ 11334,161 $ 81788,764 Less, Allowances (112 670) (615 341) Net Patient Revenue 122 , 91 , 9; ;42 Cash Received on Patient Accounts $ 11081,758 $ 6,892,123 Toss: Patient Refunds Q5,8301 (2) Net cash on Patient Accounts J, Cali, Received as a 8 of Revenue 84,88 82.1% rrr 71i if t Page 6 F L 0 W M E M O R I A L H O S P I T A L ACPD ACCOUNTS RLCEIVA13LE SUMMARY APRIL 30, 1983 Primary Payor. Current_ 31-60 61-90 _91-120 121-150_ _ 150+ Total % of A/R Medicare $ 310,705 $ 44,573 $ 91242 $ 31714 $ 11255 $ 12,740 $ 3820229 10.8% Medicaid 65,276 128,318 25,757 71705 71599 91325 243,980 6.98 Blue Cross 127,747 34,433 80006 2,136 42 309 172,673 4.9-, Corcmercial Ins. 513,179 2370862 103,197 65,884 30,170 29,994 980,286 27.78 Self-Pay 514,433 246,017 238,109 154,119 102,999 330,427 10586,104 44.89 Bala" after Iraq. 641844- 22,938 31831 21,947 15,261 45,281 174,102 4_.9% $ 1,596,184 $ 7_4,141 $ 388,142 $ 25 505 $ 1570326 $ 928,076 $ 3,539,374 100.0% In-House 395,743 Total A/R $;__3j935 117 A/R by % 45.18 20,27; 1110@ 7.2% 4.48 1211% Days of Revenuei Accounts Receivable 85.4 In-House 9.5 Total . rt S ,r k r. Page 7 FLOW MEMORIAL 1[O SPITA1, AGED ACCOUNTS PAYABLES APRIL 30, 1983 DEFERRED PAYABLES CURRENT 31 - 60 61 - 90 TOTAL TRADE VENDORS $ $ 262,641 $ 216,999 $ 24,383 $ 504,023 FEES PAYADLES 86,551 45,417 47,884 179,852 ACCMM PAYABUS 340-873 34,873 ESTIMATED PAYABLES 92,595 92,595 DEFERRED AUDIT FEES 12,400 12,400 $ 12,400 "76r660 $ 262,416 $ 72,267 $ 8231743 REFUNDS $ 29,002 1 i1 r s ~d Page 8 F L 0 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 APRIL 300 1983 I'ASSETS LIABILITIES Cash $ 48,286 Accounts Payable $ Accounts flecievable 71,453 Payable due Flow 3 548 $ 119,739 Accrued Payroll 71877 Inventory 1,844 Total Liabilities $ 11,925 Total Current Assets $ 121,583 EQUIPMENT CAPITAL Furniture & Equipment $ 11615 Pledges & Gifts $ 115 Lees Accumulated Depreciation (1,346) Cr,n! Fund Bal., Beg. of Yr. 113,815 Retained Carnigs Current Yr. (3,503) Net Equipment $ 269 Total Capital $ 110,427 TOTAL OPERATING FM $ 121,852 TOTAL OPERATING FUND $ 12 852 Page 9 FLOW MEMORIAL HOSPITAL HOME HEALTH STATEMENT OV REVINULS AND EXPENSES APRIL 30, 1983 REVENUES Patient Revenues $ 32,510 $ 219,680 Deductions of Revenue (10,215) (52,692) Net Revenues $ 22,295 $ 166,588 EXPENSES Payroll & Benefits $ 18,704 $ 143,757 Purc, Service 880 5,257 Supplies 1,074 9,534 I Travel 11549 10,375 Fhiployee Benefits 210 11299 Depreciation Net E 269 , xpenses $ *22,417 170, 491 Excess of Revenues Over Expenses $ (122)' _(3L503) r r I I 11:57;11 29 APR 1983 BAD DrIll' WRITE-OFF 1111P9RT PACE 1 l... PATIENT,,,PAT.ID..., PT PC. UU GUARANTOR-NAMC.......... GUARANTOR-ADOR....... OUAR.CITY..... OT 0-ZtP DIR. DATE CUA.BAL,. .10 AOUILAR,MINGRVA 00001487 CA ADD 2 DELMA AGUILAR 1200 9 RUCDELL'031 " DRNTON" TX 76201 10/23102 96.20 V Novedi left no address. ALDACD,CMILIO 00001727 An UP 2 EMILIO ALDACO 1903 bURNARD DENTON TX 76201 09108/92 226.00 Unable to locate, it AVITIA,MANUEL A OODOD014 En ADD 2 MAMt1EL AYITtA 2504 LOUSE N4 DENTON TX 76201 09/23/02 1211.45 d~ left no address. V I AZIZiAKDAR 00003809 1P BP 2 AKOAR AZIZ Unabl@ 2320lW N107 DENTON T% 76201 11/20/92 540,00 i A 6f6 LONDONDERRY LN 02 D£NTtlN - 7X 76201 09/29/92 30 45 BENSER,CLARENCE 00006122 an ADD 2 CLARENCE BEN9ER Unable to locate, B0LIN,MARK E 40000770 £A SP 2 MARK E BOLIN No res 14013 UPRINOCCCREEKF(RD DssALLAA TX 75221 02/04/83 59.00 BRANCH,YAGATHA N 00009656 IP 9P 1 0£WAYNE BRANCH 1P708 SILL CA N O1 DtNTON f% 7620! 07/111/82 Z4t.1S n e collo tlo fort 7% 00000 l2/t9/9Z 81.43 J) No response to collection efforts, i ORAVALL,CARDi, 00006921 CA ADD Z Moved • eft no addrpess CALHOUN,KATIE L 00011379 tP SP 2 KATIE L CALHOUN ~11 11 N79 E%£C I1HP DENTON 7X 76205 l1/12/82 302.00 I; Unable ttpp locate, { CARTER,DEANA A 00012229 tP SP 4 GARAY CARTER 5,27 N CHARLES 8T LSW29VILLL YX 75067 10/23/82' t, 963. 00 - I 1 f 4 Ba~pDttcyy2, 1 CA9EY,AMANDA L 00012500 EA in 2 DONNA WYAT7 nkruNT Ddk 613 O£NTtlN _•_TX 76201 10/15/02 73.50 Moved l7eft no address, ` CASEY,AMANDA L 00012518 ER 8P 2 DONNA WYATT ~7 2 BOX 613 DENTON TX 76201 10/20/82 34.00 Novedi left po address, COLWICK,AMANDA 00014779 CA BP 2 ROSEMARY COLWICK 1809 TYLER DENTON YX 76201 12/13/92 38 00 Unable r locate, V J f CR18PrV1gGINN1AL 00016071 ER BAS 3 VIRAINNIA CRISP R74 '1 LOT 110 ACORN IN BCNTON TX 176201 06!17/82 26.00 k0vedi I. no address. lo11. noNaddr c D&NYdN X 76201 09,23J02 78.70 ooT + OONAHUt1,CHARLEB C 00018721 ER SP 2 CHARLES DONAHU£ •J NoveditO. EKPO,KOKO 00020040 ER ADD Z KOK~~ SKPO BOX 9914 NTSU DENTON NTSU TX 76203!2/29/82 84.85 Ilovedi loft no address, L BKPO,KNO 000.90007 ER BP 2 KOKO NPO BUX,9914 NTSU 09NTON N78V T% 7&203 12/28/82 81 50 ~I DENTON TX 76201 10/25/02 46,50 Moved 18W ~C~Q7dress{,~n II Noses t rt PEAOtNBPJOHNNIE 00021642 ER 9P 2 JONNNtEBFCAGINS Pf' Wdffi DR fi hNT N -YX 76201 10/25/82 41 2S :11111, J I FERRYMAN,JEFF A 00021932 6R 9AI 2 JEFF FERRYMAN No reW% 01$0111A4t611 3Wrt508TIN TX 76247 09/27/02 14.35 J FIELD8,JAME9 T 00021900 SR 0P 2 JAMES R FIELDS No reVV%J04lectlon effortaRVM TX 76249 0/01182 20.00 J V' F1ELD8,KiMD£RLY K 00021498 OP ID 2 BOBOt£ FIELDS 2.s res~~~~e ~Edt 118&~.lon effortaBNYdN - YfC 76201 09/07/02 120.00 F[Lt.INGIM#CRAIQ 8 00092020 GR SP 2 CRAIG FILLINOIM No reV841148 ffWIAcEI ~f rt~BNTONT TX 16201 11/13/112 150.55 FILL1N01M,£LtZADETH 40000523 CA SP 2 CRAIG 9. FILLINGIM move !So9ft rte AddreQQSS, E J ~FLETCHOR,JR JE998 P 00022269 SR p00 2 9R JE90£ FLETCHSR 311 $ALOMINOARDB NH CDENTON TX 76201 HANDLER 'AZ 05294 09/14/02 38.00 V Novedt Iqf~t no address. F08TER,AAYMOND 16 00022772 IP BP I RAYMOND FOSTER 101'W CHARLES DECATUR TX 76234 11/19/92 1,164.00 Arrangements not l~gpDt, J PRY,JIMMY N 00023416 CA ID 2 JIMMY FAY NOD. FALLM AOtlW 3•-130 DENTON TX 76201 10/04/02 30,00 N@ T8S onsr to collectl@n 2ffort FUDGE, JA AUGUSTUS 00023440 SR SP 2 UET7Y FUDGE f~15 S RUDD LL 060 NTtlN 1X 76201"10/20/02 61.00 Arrangements not kept, 'Ali 1 L' g4 1671:201129 APR 1983 +t CAD DED•TIWRITE-OFP REPORT PAGE 2 - ` 11- 4w I r • . • TOR-NAME, . . , . . ~?UAR; CITY. , , , . BY 0•-ZIP DID. DATR CUR, BAL.,' 0 VARANTDR~ADDR IIGI.i J GAMDLE,POLLV A 00023994 Eq 9P 2 FOLLY GAMBLE ~ 1 `226 3197 BY ASTORIA NY 11106 1'1727/82 49.00 jI 6 , ,o1LI.CI 1APH , , , Weesponse to collectionrefforts, 1 GARCIA,GARY 00024109 ER WP 2 ISABELL OARCIA. 003 SALEM TRAIL I.EWiSV1LLE TX 7a067 11/19/82 23,00 11o response to collection efforts, GARDINI,SANDY L 00024208 ER 6P 2 BANDY tl ARDINI 3U5 9 gUODELL APT M93 DENTON TX 76201 11/03/82 40,00 ~ Arrangements not kept, GARRETTIJACKLON 00024349 1P 10 1 JACKLON GARROTT 919 SCOTT DENTON TSC 76261'-11/20/82 604.'00'-- Arrangements Arrangements not kept. GARRETT,JOE J 00024356 ER ID 2 ETTA ROBINSON 3009 SCOTT By DENTON TX 76201 09/19/82 41,50 No respbnse to collection efforts, GARY,SHEILA 00024800 ER SP 2 MARVIN GARY 109 E CORONADO DENTON TX 76201 09/06/82 97.29 No response to collection efforts, GARZA,ELIAS 00024047 IP SAI 2 ELIAS GARZA 1126 1/2 OHNSON DENTON "7X-96200 09/29/e2 250.24'" Arrangements not kept, L GARZA,ROY D 00024070 ER SP 2 ROY OARZA 003 COLORll0 MCKINNEY TX 79069 09/12/82 294.20 No response to coection efforts, No res Dnso to V ONEPP9R,ALAN F 00020599 OR 1D 2 ALAN FRANK ONEPPER No 1490 to aoplection effoftDENTON TX-76201 09/02/02 149.23 1 ponse AONZALES,CYNTHIA A 00025002 OP SP 2 CYNTHIA GONZALES AT 6 BOX 1129 a fortsDENTON TX 76201 10/00/92 33,00 ~ No res onse to collection efforts, GORDON, PAMELA 13 00026130 1P ADD 2 BRENDA GORDON RT 1 FORESYDUR0 TX 76239 09/28/82 200.40 Unable to locate, ORAHAM,FRANCES L 00026344 ER 9P 2 WELDON GRAHAM 2766 COONS CREEK 8-13 1rARMERS'aAANCH-TX'75234 09/07/82 79,70 I ✓ V No res onse to collection efforts, ORAHAM,LISA M 00026401 ER 8P 2 TAMMY GRAHAM 224 ROSE DENTON Tk.76201 11/25/82 30.00 { No'resppwise to collection efforts, i~ GRANT,TEREBA L 00026526 IP SP 1 RICKY GRANT P 0 DDX 585 PILOT POINT TX 762DO 11117182 900.00 Unab1 toj oc to BRAY, JASON P 06026620 On 60 ' 2 6669Y 'ORAY'"'u"1` nI 4; N Ar g15D ,I,c:rs iltoe. yam{ t> ISM 09%66/9.4 00 V r'Abooents not kept, j I i OAAY~ADCKY CM 00026666 ER SP 2 BOOBY GRAY 314 WOOD DENTON TX 'x,201 01/96/83 35.00 Arrang ments not kept, V 1' ORBON,REBE CA A 00026914 ER 9P 2 RON GREEN @@ 1716 JAMES GOT 94 DENTON TX 76201 11/19/62 73.20 1 J Unable to locale, . OROOR,ROXIE L 00027037 OR ID 2' ROXIE GREEK Dankrup$t y0ocOlROY PT'WORTH TX 76134 09/12/82 64.75 unable ''f GREMLtNO,NAOMIE 00027078 ER ADD 4 DANIEL WM OREMLINO P. LESTER LEWISVILLE TX 75067 09/20/82 34.05 .,f~ J f,, GROSE,DEVIN 40011496 ER BP 2 DAVID 01108E PT. 2 BOX a DENTON TX 76201 03/16/83 40, 00""l111J Unable to locate, kw I GROORPNORDERTA A L 000027532 IP 0027600 OR BP I 2 JUAN DAVID OVLEE AJARDO OE Ilovedl9AT 0 TWIN 221 9TELLA address, EB Nf48 DDENTON 76201 W[2/S2 ENTON TX 76201 11/17/60 . 2313,00 .1 J f No respponse to collection offf rts, OUY,BILL L 00027953 ER SP 2 JAMES GUY EXOCUTIVE MHP LOT l9DENTON TX 76203 10/30/02 40 00 J No response to collection efforts, OWINNUP,RENEE 0 00027995 ER SP 2 STEVE OWINNUP 121 NORYHWOOD 0300 LEWISVILLE ---'-7X 7606710/10/82 39.00 V No response to collection efforts, 1 J HALE,GLENN W 00029274 ER 8P 2 OLONN HALE 1227 HILLTOP IRVING TX 75060 10'31/82 20,00 HALBY,BARAH 00029365 OR SP 2 SARAH HALEY No res~~IbpBItUH~t~~ct~q~0~f ortsdENTON TX 74201 11/01/82 73.75 HALL, CHARMAINE 60028415 OR SP 2 RICHARD HALL No re9IM tt%j'0 lgctA$ olfo"WNTOtJ " YX 76201 69/26/82 75:50 I I 6, No response to collection offorls, J 1r• J 11:57; 27 29 ApA 1983 OAU DEBT WADE-OFF REPORT PAGE 3 J PATIENT,,,,,,,,,,,,,, PAT. ID. PT FC, BD AVARANTOR-NAME..,....., pUARANTOR-A DOH.,.,.., OUAN'CITY..... BT 0-7.IA 010. DATE CUR. BAL.. I HALL,SHAWN D 00088571 OR 8P 2 STEPHEN HALL T LoT #00 DENTON TX 76201 11/15/82 72.40 Unable pto locat0, HALL,STEVE D 60028589 OR SP 2 STEVE HALL (loved; left 9XaYTI E M14P N8 DENTON TX 76201 11/23/82 56.00 ress. HANCOCK,HOLLY B 00025977 OR ADD 2 HOLLY HANCOCK 320 FULTpN NO B DENTON TX 76201 10/02/02 191.40 moved; left no address, i " HARRINOTON,KIMDERLY L 00029736 EA ADD 2 KIMBERLY HARRINGTON llll UNIVERSITY 0209 DENTON TX 76901 12/05/82 40,70 HARRISON,RANOALL 0 00030171 OR OP 2 GEORGE HARRISON No resP1008 STHo9TCNon effortsdANOER TX 76266 69/24/02 67.75 No resVol, se to Collectfon efforts. HAOKELL,CELESTIA 00030460 EA ID 2 CELEOTIA HASKELL BOX 964 CARROLLTON TX 75006 03/28/82 65,00 Unable to locate HILLIARD,CYNTHIA D 00032326 ER OP 2 RONNY HILLIARD' 1126 PERKY #204 IRVIP1 7X`75061 09/23/02 SS, 00 HOOAN,ELLEN M 00032680 iP ADD 3 KENNY HOGAN Unable2800 PT WORTH DA 050 DENTON TX 76201 10/04/82 429,75 HOKE, MANDY R 00032730 IP BAI 3 LARRY HOME FtovrefponAe 1 ME oROYDONtronLOTforIS HOWE,BTEVIE 00033670 ER ADD 3 STEVIE HOWE 150 DENTON TX 76201 09/04/0.2 11. Do,,- ! DOW 9T 19 6ENYON ?X"76901 11/30/02 190,75 ~~Ir i 3 No respo04810 to co~~a>lion efforts JACKSON,PATRICIA F 00035220 OR SP 3 PATRICIA JACKSON 8 t PRO `AOO a gq OAYETEVILLE NC 00000 11/17/82 89,15 I'w JOHNSON,MELISOA R 00036327 OR SP 3 RAYMOND JOHNSON Unab1e1091MA99AY LOT 6 DENTON TX 76201 12/10/82 02.25 nable to locate JOHNSON,WALLACE A 40001077 OR OP 3 VICKIE JOHNSON Un able1t14lpcVIT DENTON` - -_TX 76901 02/08/03 39 90 JORDAN,CHARLED E 00037267 ER ID 3 CHARLES JORDAN PO 0OXt113 MEADOWLARK LITTLE ELM„ TX 7506e 06/13/07 45.50 No rASsept0XW011BCptLon effortSCSWISVILLE TX 75067 02/02/83 151.23 fl JUMPER, SHIRLEY F. 95000006 OP SP 3 SHIRLEY F. JUMPER pon44 01 t . J JUSTICE, BETTY L 00037440 OP SP 3 9RN907 JUSTICE NO FOSP.On 001 sd to cRopOdODD lI e1 04 effortS41CHITA PALLS TX_76309 01/05/83 40.00 V Movedl 1E o aadd ass, KESTeR,Bl4EEAN 10003051, EIP BPD 4 PAULEE. KESTER, JA Unab10AT 2oCBOX 020 SANOBR TX 76266 02/12/83 5,359.29 I3v aankruP~N ~ AD. KIRBY,OLENDA D 00030729 ER OP 3 VERNON KIABY 1063 KERO0LEY BY 0ENTON TX 76201 07/122/82 06.75 nI1~~ KNAPP,BUSAN A 00038935 OR OP 3 JEFFERY KNAPP No r4Sp0~/e N. 11UR1PHY1 AffOrtSJUL%8014 '-"YX 76020 12/07/01 160,00' KORT6,OA0E P 00039123 OR OP 3 MICHAEL PERKINS No resp78~Rs4e tSOU1RiPHtfon effortsNO COLONY _TX 75056 09/27/09 133.50 NLOLLMe ER ISPD 3 3 SUE ROBTIMOTHYINJ,SON No res Vie KUDRAK ,UEOLER,TIKIMOERLY MOTHY A J. 40012/309 00039209 OR f KUEOLER Unable3t0nn41MEAA HALCcLttf NTOUfortsWALLA DANTON WALLA NTSU TX WA 76203 99362 09/23/82 03/22/83 5448.00 00 ~I Unable tp o att OA ~I1I LABAY,TIMOTHY 00039358 OR OP 3 TIMOTHY LADAY 0100 1 W PIAM0NT LONOV19W TX 75601 12/01/82 50.00 110 reSp n1e t0 Cop11 Ctl n eMrffor05~LAIRD,T01RfiDA F 00039552 iP MD 1 PATRICK HARRIS r r. 60 FT01f0M?H, P. No 4 rospose O collectfon tX 76 201 12/23/02 1,000. Ht 130 V LAMB,OETTY J 00039970 EA SP 3 BETTY LAMB, 601 NW 9TH ST OKLAHOMA CITY OK 73102 11/13/82 38,90 X ANTHONY HOSPITAL W LAMS,CAROLYN K 00039594 OP BAI 1 JIMMIE LAMB Unab1e9101CLEVELAND DENTON TX 76201 16/19/02 46,25 No,rOsPonle to collection efforts, ' I1; 57; 7d 29 911 1903 DAD DEBT WRITE-OFF REPORT PACE 4 ` PATIENT.. - PAT.11).... PT PC. BD GUARANTOR-NAME..,...... OUARANTOR-ADOR....... GUAR CITY.,. 8T 0-ZIP OIB.DATE CUA,BAL.. LAMB,JIMMtE 00039602 IP RAI 1 JIMMIE LAMB 910 CLEVELAND DENTON T% 76201 10/01/02 123.00 No response to CCgqII @ct oqq ~efforts + LANCE,OLFNN E 00039691 ER SP 3 MYAON M08 1109 WuuOODROW ~ANE bENTON TX 76201 10/31/92 138.90 I LANOMAN,LORI 00039826 ER CC 3 LOP, LANGMAN No rosp00MRALcDELIVEVffor'%EWISVILLE T% 75067 11/20/92 162.50 Unable to locate 00039891 OR 8P 3 DEO;.IE LANNON 16 N STR9ET TREEMONT CIT OH 00000 09/26/92 10.00 No responso to cLlectlon efforts LARA,E9TELLA A 00039966 ER 8P 3 EBTELLA LARA Ql7 HAVA A ORPUB CHRIS TX 70406 10/11/82 96.00 160' i LAROCK, DONNA J 00040063 ER SP 3 WESLEY LAROCK Ito resP39YO tFoT°NOn7Hi Dr~~#4rorrb tsb8NTON `TX_ 76201 09/12/02 30.00 LARAY,ANTHONY L 00040071 OR SP 3 ANTHONY L LARRY No resp 1114tHILL1SeTREETeffortsDENTON TX-76201 09/29/82 46.30 LEDPORD,DAVA 00040410 IP DAI 3 DAVID LEOfORD No respATse2 to CcOllecctlon effortsplLOT POINT TX-76269 00/31182 180.19 k. LEE,LARRY 0 00040566 ER 8P 3 LARRY LEE No resD~0~la9 CNAR4E61#211fortsLEWISVILLE 7X 76067 01/21/83 152.00 y i No respopso to cc011ggc o on efforts LEE, PATRICK W. 40001612 ER 8P 3 JAMES LEE PO BOX 1167 kOANOKE TX 76262 02/07/83 38,00 No response to collection efforts, LEONARD,OENE L 00040824 OR SP 3 ROME LEONARD 1610 VILLA09 iiEnnASeTff010 DENTON '-`-r% 76201 01/29/93 55.90 LERI08,BETH A 00040857 CA SP 3 WAYNE LERIOS No resINs1 too%alA4'tD6NTONfo~35bENT0N TX 762bt 05/30/82 65.00 ' LEWIS,DONNIE R 00040998 IP RAI 3 JERRY LEWIS Arrange617tJUNO kept. DENTON TX 76201 06/27/82 196,7!! V ArrangemIpenpts not kopt j LEWIS,DANELLE 8 00041004 OR SP 3 JERRY LEWIS TWIN Ln!AKESMhP 442 DENTON TX 76201 12/25/82 20.00 LIDSTER, JIMMY J 00041186 IP 8P I JIMMY L1D87ER Arrange2ea0Tk[ItINE 40175 GRAPEVINE TX 76051 08/21/82 1,050 00 LIPSCOMDADELCERT D 00041517 ER 10I 3 I TEXAS DMED CARE NO. Unable Unable~~51AXeeMN1 CKOTWINLAKES DENTON TX 76201 08/01/02 1,.70 206 it LITTLEPAAB,J C 00041682 ER No respn o to collg n efforts fl 1 SP 3 J LITTLEPAOE 342 W An DENTON T%76201 00/11/82 1311.00 LOCKHART,CARL 00041640 IP BAY 3 CARL LOCKHART No resp301 ORONAOUtAWTeffOrtSbITNTON T% 7601 09/08/02 274.11 Arrangements not kept, QQO0b633 LOEH,OINA 0 00041715 IP SP I R089AT LOCH P, 0. BOX 042 PILOT POINT' TX 76250 090.3/02 2,326,201 V Unable to locate; , LOFTIN,OHIRLEY 0 00041764 1P 8P I SHIRLEY D LOFTIN PO BOX 121 DENTON TX 76901 11/1!3/02 818.90 NovedI left no address. l u LOPEA,OONNIE 8 00041962 OR fl) 3 DONNIE LOPER AT, 2 BOX 23 AUDREY TX 76227 09/20/82 40.25 y,. Arrangements not kept. LOPE2, I IERNANDO M 00041996 EA SP 3 HERNANDO LOPEZ 2604 LOUISE L4 DENTON -TX 76201 09/29/92 49.35 No response to Loliection efforts, LOTTS,LAWSON 00042127 ER SP 3 LAWSON LOTTS 006 W OAK 04 39407040 T% 76201 12/16/82 38.00 Unable to locate. LOVOLADY,WENDY A 00042143 OP SP 3 CLYDE LOVELADY 1715 STEMMONS LEWISVILLE TX 76201 t0117/82 1;18.00 ' LUNA,KATHY 00042291 ER SP 3 KATHY LUNA Arrange? 9t HEITIt3pi` DENTON TX 76201 12/64/92 107.38 Unable to locate. LYNCH,0000Y A 00042424 EA SP 3 DOBDY LYNCH 513 LOOP 288 APT I14 DENTON TX 76201 09/25/82 104,00 l1w }~J Arrangements not koot, MCCAI,RREO H 00044578 IP 8, 4 PRED MCCAIN 1912 BURNING TRES DENTON TX 76201 03/25/82 2094,20 hot Bankruptcy. t, 1•,Ir57r42 d9 APR 1903 BAD DEBT WRITE-OFF WORT PAGE 3 PATIENT PAT.10. „ PT FC. DD GUARANTOR-NAME,,.,,.... GUARANTOR-ADDR....... OVAR,CITY ✓ 07 0-ZIP 010. DATE CUR, BAL., SAOER,RUSSELL E 40002289 ER ADD 3 RUSSEL1 E SAGER 1331 E LANCASTER FOR Iloved T WORTH TX 76106 0$/04/83 301100 SALAZAR,MARTINA 06099907 IP ADD 3 FRANCISCO SALAZAR ; l320 eft no address, to l cafe, E Bf DENTON - TX 76201 07/17/80 97.00 ~ SALDANA,BELINDA 00059923 OP DP 3 MARTHA SALDANA Unable to locate, AT 1 BOX 277 PONDER 7_X_ 76259 06/09/82 161 DO No response to collection efforts. 4 SALTF.R,VICTORIA H 40001401 ER SP '3 RICHARD D SALTER 904 N ELM Moved; left o address. DENTON TX 76201 03/08/83 38.60 SANDERS,CINDY D 00060228 ER or 3 RICKY SANDERS AT. in DpX 447 TIgOA T 7% 76271 09/08/82 76,00 rF SANDERB,LACHAALEBL 00060319 ER 8P 3 ELLEN BANDERB No response to collection efforts, 2435 LOUISE 01 DENTON _TX 76201 01/15/83 50.10 Ilovedl left no address. {r BANTIN,CAMACHO MAYRA 00060657 1P 1D 1 CARLOS CAMACHO 308 BRADLEY #3F• DENTON TX 76201 10/00/62 1,448.80 SCISM,8ANDY 00061366 ER ADD 3 RANDY SCISM Unable to locato. I 326 PEACH APT K DENTON TX 76201 00/24/02 62,60 SCDTT,BRYAN M 4000$644 ER ADD 3 BRYAN M SCOTT Moved;3030 014AHANSS LAKE DALLAS TX 75060 02/08/83 02,00r E SEABORN,XVAN MAI L 00065671 IP ADD 4 TERRY SEAUORN Unable to locate, 1 BO% 135 PONDER 3 ' Bankruptcy, T% 76209 09/31/03 70.00 V`1 SEATON,ELDON D 00061747 ER SP 3 ELDON SEATON AT 4 BOX 67 1+`~ DENTON Y% 76305 08/16/82 68. DO SHIRLEY,TAMMY L No response to collection efforts, 00062638 8R 1D 3 OItgROE SHIRLEY 3343 HUDNALL #1194 DALLAS TX 73235 071201011 123.50 NO rag SHOLARS,MONZTA Se I collection efforts 0006778 IF BP S MON[YA BHOLAR6 IT , ~fltBCq TX 73034 08/31/82 5,131,00 l SHUBER,LYNN J 00562885 OP BP 3 JOHN BHUDER No^rdspbnse to collection efforts, 411 E PECAN 01076 HURS7 TX 7603 09/25/62 168100 f BIDEAS,BRUCE 00062943 8R ADD 3 BRUCE BIDER6 Una bla to locate. AT 2 DOX 15 UNICORN M DENTON TX 76201 11/13/82 59.00 BILVA,MICHAEL Movedl left no address. l 1r 00063057 1P ID 5 MICHAEL SILVA AT S BOX 210 0 FRISCO TX 70034 06/26/82 81M2, EARNEST H. , JR 40000705 EA ADD 3 EARNEST H. RIMS, jRUnablg HOTEL 6 #35 DEM70N - 060. 50 i ! ~ 178 WtND$tR #176 TX76201 08/03/83 38,00 b ? Unable to locate, J VI SMITH,JOHNNY T 1 00064311 ER 8A1 3 BARBARA SMITH 1036 REED No response to Collection effortsnENT4N '7X76001 07/13/82 26,00 ' 00064428 ER ADD 3 LINDA SMITH 9 BMITH,LINOA J 10 gg LgcCU87 ' DENTON l.✓ No response to CIOVOS tion of forts. T% 76$01 10/00/92 46.00, _ SMITHILINDA S 00064436 ER SP 3 LINDA SMITH NT 1 ALVOAOTON ON 43501 09/16/02 63,86 { BMtTH,LLOVD M 00064444 ER SP 3 LLOYD SMITH Moved{ left no address, TX 30,00 ! 110 MARSHALL DEN70N 76001 09/02/80 --I11 8MITH, SHELDON H 00064733 EA 8P 3 SHELDON SMITH No resp2RSgtH1C5~t~RY 11 # i#4 offortsbENYON 7X 76201 09/$4/Bp 194.00 ~I q 1 L' ~ WILLIAM W 00064065 ER 8P 3 WILLIAM SMITH pRT 5030% 81057 OANOER TX 76266 BM1fH, - _ NO respoqnse to copllleecction efforts, 08/19/82 04, 00 ' SNELL,J£PF 00064964 EA SP 3 JEFF KNELL 621 ERNA D DENTON TX 76201'01/01/03 08,00 j~ V 80AVE,ANTONI4 00065004 SR 0P 3 ANTONIO SOAVE Unable tp locate, f J KERB HALL 735 DENTON TX 76203 11/13/02 42,.^.5 I BPARKB,ALTDN 00069341 1P SP ! ALTON BPARKN Unable t to ate. ' 506 OHAMpEAS DENTON TX 76201 30/18/0$ 2,342,60 STANFORD,KIM J. 40006249 ER 8P 3 KIM J, STANFORD No rasp01 tUV LCt1pn efforts LEWISVILLBTX 75067 02/22/09 117, 60 I J 'h J 310 BT Unable to locate. r ii 1[:57:50 29 APR 1993 BAD DEBT kPITE-t'FF REPORT PAGE b PATIENT,,,,,,,,,,,,,, PAY. ID.- PT PC. DD OUARANTOn-NAME.,.....,, GUARANTOR-ADDR....... OUAR,CITY..... 9T 0-TIP DIG, DATE CUR. BAL.. OYINSON,BRANDI 40007684 ER SP 3 JANICE STINSON 2800 FT WORTH OR DENTON 'IX 762,01 02/28/83 43.00 NO, 61 ` ST[NSpN,BRANDY N . Movedl left no address, 00067108 ER SP 3 JANICE STINSON 2800 FT WORTH DR 061 DENTON TX 76201 01/11/83 $3. b5 TABEq,MIK9 ffoved; left no address, 00068536 ER 8P 3 MIKE TABER 5to iocate, 01 FRAHE eT. DENTON `-TA-96201 01/30/83 3S, 00 THOMAS, RACHEL L 40003337 SR ADD 3 RACHEL L THOMAS Unable 3336 SPANISH FORT DALLAS 7X 75216 02/13/83 323. 00 Unable to locate, ' 101 TRAMMELL, MARY K 00070193 IP SP 4 THOMAS SR TRAMMELL AT B TWIN LAK_98 #269 DENTON ~ 9ankruptcy, T% 76201 01/26/82 1,357,45 i VANSHAW,REDSERAITT 00071292 ER ADD 8 JACQUELYN VANSHAW 105 9 STATE OAKLAND'`-- ~ l'X`'r5040 11/20/02 44. 00 WALDEN,MAR7Y L 00071860 [P 8P 1 SHERRY WALDEN unable to locate, 1807 WESTWOOD DENTON TX 76201 12/14/92 1251,48 MovedI left no address, 1 M t WALDEN MARTY L 00071878 8R BP 1 SHERRY WALDEN IUD7 WESTWtlOD OBNTON T% 76201 01/64/93 42.00 ~ r - Moved l Left no address. WALKER,PAMELA J 00072090 1P ADD 1 ROGER WALKER 1710 0t1.IVAR DENTON "-TX 7b20i 10/07/82 1 469,95"" f , 1100di left no address. WALKER,PAMELA J 00072108 OF ADD 1 ROGER WALKER fiovcdl left no LIVAR DENTON TX 7620t 10/12/82 48.00 !I address, V WHITFIELD, RICHARD L 00074013 EA ID 3 RICHARD WHITFIELD 807 ROLAND FT WORTH T% 00000 10/06/82 40.75 Unable to locate. i~ WILLIAMSON,VALORIE 00075143 IP Sp 3 CHARLES WOOD 504 ACHE DEN7ON'- - ' T%76201 05/29/82 397, 59 , W1NN80AR,8V8AN 00075663 ER BP 3 SUSAN W1NN90AR (loved; left no address, 1917 GEN., DHNTON TX 76201 10/09/92 88100 ~.1 No response to collection efforts, ` WINTERNtlU8E,9RIC 00075697 ER ADD 3 ERIC WIN TERHOUSE 310 PARK AVENUE LeWISVILLE TX 70067 01/19/83 44,80 WRAY, CO89TTE 8 00076240 HR ADD 3 COSETTE WRAP Unable to ovate, `7b701 ` 10/31/82 207 CORONADO #204 DENTON '"-TX J WRIGHT,TCMMY E 00076547 ER ADD 3 TOMMY WR10HT flovod; left no address, 165,05 1309 LEYFAIR LEW19VILLE TX 750 Unable to locate, 67 11/06/82 95,50 y' i 42,200.10 4 I i I ..J 1III fil I , I , t I 16: 16: 10 04 MAY I'?I)3 CHAHdTY H1-.Pf1Ht PAOF. I ' PATIENT . PAT. ID.... PT FC. OUARANtOR NAME.. AUDRC6tt... CITY . ST TIP, . DIf?, tl7E, AMOUNT.. A1_LU.N, JIMMIE L. 40014409 Ell CC AI_LtN, JIMIllF IDENTON COUNTY JAIL DCNTOY TX. 76LOI 03/29/03 ^53.90 Denton runty Jail ty!' AMDLH5CN,JIMMY DON 40009696 Fit ND DENTON OL.VELOPMEN) CrN1ttn DFNTON 0t3VELOPMCNT DENTON TX 76401 02/111/03 -16.00 Balance after Medicaid, I ~ CLE00, FRED 00013730 tP TIC C•_.,00, Fillip UFAUMONT NURSING HOME DENTON TX 76ROL 12/23/02 -16.00 b ll Balance after Madicald, CONN, OENA it 00014002 I'R Mn O VEt.IIPMLNT, CCN171 R pltlTCltE 909 OOP aED DENTON TX 76201 00/30/82 -2^2, 00,, Balance after Medlca d, 11W, COOPER, L 00015024 Ell DAI COOPER,JANICE Balance after fie ed 124 .AST OAK, DENTON TX 76201 10/16/01 -53.V f _ - DEREN20,JDFtlPit 40012090 ER UP Indigent taro. 4720 CLOVCR VALLEY COLONY TX 75096 03/19/63 -49.05 I 40,, pqrt DRAPER,DARPARA 00019016 1P DAI U1IAPEH C}IARLE~enton County Jail i DDK 47LEY C0LL1N3VILlE_ 76203 06/17/62 -2,249.89 g ~I .,L DRAPER, ORAPARA 10001693 Ill CO DRAPER, CHARLE AT I. BOX 47 COLLINSVILLE,T TX 76233 0d/11/63 -2,633.01 IndiVont care, ELMAN,DOnCiTHY C 10019069 III SP ELMAN,DDROTHY C 4605 TWITTY THE COLONY _ TX 75056 04/14/03 -169.10 I~ indigent care. ENGLISH. JOHN C, 10011997 IP CO ENOLI9H, JDHN C. t 109 N ELM, nENTON 7X, 76201 03/16/03 -1,010.25 Indigent care, (r, AAHCIA,$ALVAUDIt H 40002?G3 FIR 11D RUSH, JANE F 5122 DOWSER NO. 121 DALLAI3 TX 75209 02/0910,1 -35, 50 ' Indigont care. I OARZA,CDWARD 40006496 ER CC DENTON COUNTY JAIL DENTON DENTON TX 76201 02%24/89 13.00 Balance after Iedicaid, 1 _-9,00 ORARD,UELLA C 000262274 IP MC ORAPD,DCI.LA OtlLIIEN HAVEN NUR!?INA DECATUR TX 76234 01/06/63 -1 • y 4' Balance after Modica Id. ^ CnCATHDUOL,WANDA D 95000394 OP kill PREATHOUnC,WANDA D. 1507 LATTIMDRE OENTON TX 762201 02/16/03 102,00 ! Balance after Medicaid, {,1 OREiATHOUSEPWANDA D. 95000374 OP SP OREATHOUSE,WANDA D. 1502 LATTIMOR5 D6NfON Tk.-76201 02/16/03 22. 00 Balance after Medlcald brought back from Chatlty after Patient ppayymmont. HARRIS, OLRI 00029027 OP DP ONT. CTY AUDITORS 401 W ~HIC90RY__._ DENTOIJ_ TX.76201 09/27/02 r-71. 00 , Balance after Medicaid. I-ICLIKE16 ALEXA6 C 00031112 EH CU NFLIKER,DARY AT 1 ROX 392 ROANOKE TX 76262 01/01/03 -14,00 County Auditor, _ HELIKER,ALEXA9 C. 10017019$ 11, IiD OEL1KER LULA Rt 1 DO% 342 RtlANtlK 7K 7ta762 61/t'4/93 180.00 kw[I V Balance after Medicaid, ' DENTON.___ TX 76DOt_03/31/03 °63.90 HUFF, T1itlMA$ D. 40014755 VI ACC UCNI'ON COUNTY $HPn1FF6 OF F. MCIfINNRV,9T - _ , Balance after Medicaid, HUGHRANK6,REVFRLY J 00034041 IP MD HUGH)IANKS,DE'AEnLy 1900 LARIAT DENTON T% 76201 11/07/62 -30.00 Denton founty Jail. IKMHPANK6,JOHN M 00034090 IP MD HUCHPANKR,OEVFnLY 1900 LARIAT DGN,u,O T~ 76201 11/16/68 -15.00 Balance after Hadicald, I III HUTCHISON,JAMAL K 000345,20 ER MD HVTCHI SUN. NICY 500 0 RUDOELL 4.140 DENTON TX 76W01 112/17/8: -20.00 fi Balance after Medicaid, IACKRDN, Cl IARLOTTE 40000695 En tID JACKSON, C11AHLOT1'E PC) POX 075 tlENTON T% 76201 02/03/03 -.50.00 Balance after HodicaId, _ . JACIl10ON,MARTHA L 00035170 Fn 0P , TX 60000 01/ZR9/03 -14 :5 Balance after Hadicatd, JOIWNON, VICTOPIA 10005'/4P IP 1;0 JOHN90N,FROD 11201: IHCKDRY...., UENTOM TX. 76801 OD/P1/113 -1,631.;1n Indigent care, Indlgont care,_ , DCNION TX - 6201 03/0:/03 -1,1360.45 IOHNDON, VICVOIIIA D 000365:13 FR Oil JOHNSON, F'RCD JANE Care, 1120 K HICKORY. ONION T8.76261 0'7%11:/$2 -1, doo. DO Indigent I~ fY'' LAMONICA,FRANCEO M 00039636 DP nAI LAMDNICA,FRANCES BOX 173 KRUM -TX 76249 07/01/112 -864.30 Indigent taro, lb 11, 14 04 MAY 17£1;1 CHARITY rIL.PORr PART: 2 ~ L 1.) PArjrNF, , PAT. ID.... PT FC. OVARANIUR NAME.... AUDREsn CI rv......... . OT ZIP.. DIS. DTE. AMOUNT... V ! ~ LEE, CHERRY 1000103? 1P MU LEE',CHFRRY 3n18 11 FAN TR DISN'rON TX 7b201 02/02/03 -t0.00 fl Balance after Iledicald, V . MANVLLUCLARAMPCDWARD 100071"1 7h3740 FR ND MANOLL,CLARA Balance l after Hedl4 MCDONALDE - DDENTON TX ENTON_ ~ TX 74201 03/86/03 -19.75 J 1i MILLER,MARK W 0004714.? IP MD MI 1,LF.R,DAV11) 5304 RUSTIC. TRAIL COLLE•YVILL,E TX 74034 01/12/83 -26.00 ! J Balance after Medicaid, V ; MILLER. MARK W 00047199 FR SP MI1ACrODAVID 5304 RUSTIC TRAIL COLLEYVILLE TX 76034 12126/82 ••30.00 Balance after Hedicaid, MORAN,ANNIE' L 00048413 IP MU MORAN,ANrJIE 4912 WOMACK CIRCLE THE COLONY TX 79067 OL120103- -594.36 Balance after Medleald, i MIILLENDDnE,PEBBLE 00049208 En ADD M011ENOORE,DEnnIE AT 2 BOX 973,.. DENTON TX, 76201. 07/19/81, -110.10 f lye OUAIR,JOIRJIJV 10007797 1P CO OllAIR,JONNNY Indigent care, 4903 S YOSEMITE DONVER CO 99949 02/44103 -24.36 OLMOTLI),WINNIFREDI 00091516 UP UP OLMSTEO,WINNIFRCD 1WINLAKES RT D 0283 OL:NTON TX 76201 1S/09/82 -129,00 i f Indigent care. V eANDL•RD, NORMAN 000603DO ER 61) (SANDERS, NDRtIAN 3529 S EVERETT_ _ WICHITA._,_ KS 67217 12/20/82 -30.00 Indigent care, w SCHAl1PER7,TEARY L 00061020 ER SP BCHAUPFnt,TERRY 711 APOLLO DCNI.ON TX 76201 09/30/02 -40 00 ) Indigent care, SCUTT,ALICE M 00061424 IP MC SCOI'T,ALIC£ 1507 NORTHWOOD DENTON TX 7b201 fit/23/02 ,22.00 V Indigent care, 1 ) SNORT.DAPHPIE R 00062794 IP 9P SHORT, DAPHNE 308 RUDDELL YUPPICY. DENTON T%_76303.11.118/82 -5,619.10 Indigent care, i~ ty SHRUM,DOROTHY L 00062869 IP MCS SHRUM,WIL.LIAM 4 BOX 31 KRUM TX 76249 30/10,10,? •q.00 i J Balamcolafter Hodiodld, S1RE8S,DONALD, 13 40006217 ER SP SIRCSS,DDNALD,S 4820 COBLERS LANE IJALLAS IX 75252 02%14/03 -3n. On' Balance after Hadicaid, 0NE1.L,MA4Y 00064978 IP ADD 83JFLL,MARY 800 E THOMPSON DECATUR TX 76234 Oq/[0/81 53.35 / Inds ent care, Brought back from Chalrty duo to patient parnent, l 5TANLEY,KATHERINE,L 40007106 ER HO STANLEY, KATH'V1 INI, L ,m fit nUD➢ELL 51D DENT ON T% 76201 02/26/83 -27.00 V Balance after Hedicald, E HUFFORD,WILL JAM, ALEN 400090hS En CC CROWLEY,JANY.K HT I SOX 227 FMISCO tX 75034 02/19/03 10,00 I V Balance after 11odicaldl brought back from Chairtyy due to patljpt oaymant, J WRIOHT, JOSHUA W 00076372 ER OP WR10117, ANN 2811 W HICKORY , 030 DENT ON , „T% 76(201 01/19/03 -1,033. 60 r" Indigent Cara, kw" WRIOHf,JOSHUA W. 7000313,'] OP 8P WIi101fr,ANN MARIF; 8811 W HICKORY DENTON TX 76001 03/07/03 -456.00 J i Indigent Care, - -4O, 127. 06 J EIJ FLOW MEMORIAL HOSPITAL BALANCE SHEET May 31, 1982 1983 1982 1963 1982 Current Assets; Current Liabilities; Cash--Operating $130,818 $ 97,757 Current Notes Payable E 4279774 $ 1809923 Interest & Sinking 170 14,315 Accounts Payable 710,265 770,413 Reserve Fund 40,855 20,181 Accrued Payroll 489,140 461,627 Repair Fund 20$15 11826 Due Medicare 150,903 175,380 Group Health Insurance 2,847 10000 Fees Payable 192,651 1999653 Investments/Board Designated 305,464 521,398 Bond Interest Payable 16,768 16,768 Bonds Payable 102000 65,00^0 Total Cash & Investments $500,469 $656,477 Total Current Liabilities $1,997,501 $1,869,1 Accounts Receivable $4 337,948 $3 008,930 Other Liabilities: Less: Allowances 855 466) 247,986) Deferred Income $ 1149563 $ 116,351 Net Patient Receivables $36482,482 $2;760$944 Long Term Notes Payable 289,604 507,309 Bonds Payable 420,000 430,000 Other Receivables $191,049 $174$61 - Inventories 3850188 276,414 Total Liabilities $29821,668 $299239325 Prepaid Expenses 74,519 75,976 Capital: t Total Current Assets $496330707 $36944,372 City of Denton $ 393,165 $ 393,165 County of Denton 11696,871 1,696,871 Property, Plant & Equipment: Endowment Flow Estate 240,461 240,461 Land $ 37,547 $ 370547 Fed. Grants, Hill-Burton 1186C,910 1,868,910 ' Building & Improvements 3,067,385 3,060,002 Federal Grants 256,371 2660371 Furniture & Equipment 4 541 103 4 656 384 Pledges and Gifts 561,648 477,228, $7,646,035 jljt~J~933 Gen. Fund Bal., Beg. of Yr. (291,266) (686,7, ) Accumulated Depreciation (4,3061191) (41100,185) Current Year 425,723 328,5bi Net Property, Plant & Equip, $31339,844 $3$53,749 Total Capital $5,151,883 $4,5740797 TOTAL OPERPTING FUND $70973,551 $75498,121 TOTAL OPERATING FUND $7,973,_551 $7,498,121 ' Current Ratio. 2.32 "p`~ i Page 2 FLOW MEMORCAL HOSPITAL k."~ STATISTICAL STATEMENT May 31, 1983 CURRENT MONTH YEAR -TO -DATE P R 1 0 P Actual budget Actual Budget Year-to-Date Adult Patient Days 2,927 21945 22,997 23,085 22,663 Average Per Day 94.4 9510 94.6 95.0 93.3 Newborn Patient !lays 375 434 2,917 3,402 31174 Average Per Day 12,1 14,0 12.0 14.0 13.1 Gross Patient Revenue/ $513.47 $415.05 $447.89 $423.59 $383.04 Patient Day Total Expense/Patient Day $366.25 $345.33 $365.27 $352.43 $325.89 Month Charity Dad Debt Recovery October $ 51,473 $ 96,053 $ 50636 November 127,181 117,974 4,446 December 61,228 1060636 6,566 January 8,000 99706 9,934 February 28,963 108,131 4,092 March 520295 89,946 129762 April 20,149 42,208 160021 May 15,406 36,734 3,595 $3649635 $697,388 $63,052 % of Revenues 315% 6.8% .06% i Page 3 PLOW MEMORIAL HOSPITAL STATEMENT OP OPERATIONS/MAY 31, 1983 % of Salaries Supplies Total Direct Operating Revenue Revenue & .Benefits & Other Expenses Profit (Loss) Daily Hospital Care 15 $ 2210795 $118,346 $ 100769 $129,115 $ 92,680 Psychiatric Care 5 76,649 36,338 21815 399153 40,496 OB/Post Partum 2 360900 18,135 2,477 209612 16,288 ICU 3 420000 240071 3,296 27,367 14,633 Nursery/NICU 6 83,590 34,979 51767 409746 42,844 Coronary Care Unit 3 399622 33,006 4,301 370307 2,315 Labor & Delivery/Birthing Center 4 66,010 22,861 81430 310291 349719 Operating & Recovery 4 649326 23,195 13,216 36,411 27,915 I Emergency Room 4 56,911 18,404 27,307 45,711 119200 t ` Central Supply 9 136,775 8,225 52,601 609826 75,949 Laboratory/Blood Bank 10 149,399 56,100 56,100 93,299 Radiology/Nuclear Medicine 5 78,828 16,056 20,847 36,903 410925 Pharmacy/IV 16 239,504 115928 43,707 55,63$ 1830869 Cardiopulmonary 10 147,662 17,790 18,564 36,354 1119308 Anesthesia 3 43,371 2,641 24,980 27,621 15,750 Physical Therapy _ 1 169640 6,781 4 867 11,648 4 992 Total W-ITX"s 82 ' $8100182 Deductions of Revenue $ (129,395) $ 129,395 Charity & Bad Debt (176,047) 176,547 Employee Health Ins. Expense $ 499467 $149,467 49,467 Medical Records 564 $ 90504 39420 '12,924 12,360 Gift Shop/Grounds Maintenance 11573 2,046 1,19 31265 1+692 Cafeteria 11,670 27,409 26,898 549307 42,637 Plant 149513 54,408 68,921 68,921 - Environmental Services 32,498 90668 42,166 42,166 Fiscal Affairs/Data Processing 7,816 15,118 229934 22,934 Business Office/Credit & Collect 21,980 109904 32,884 320884 Personnel 26311. 29927 5,238 50238 Administration 31482 1,597 5,079 50079 Quality Confrol 30089 928 40017 49017 General & Administrative 14,566 50,550 509550 381984 Depreciation - 33 046 33 046 33,0461 `$T277`,5 Gain(Loss) From Operation + 147j815 Non-Operating Revenue 25 000 i~.,..~ Foundation ' Total $1,253,535 $517,404 $560,194 $1,0770598 $1755937 N ' Page 4 FLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS/YEAR TO DATE May 31, 1983 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit Loss Daily Hospital Care 17 $ 1,718,070 $1,034,796 $ 101,375 $1,136,171 $ 5819899 Psychiatric Care 6 599,068 277,308 259167 302,475 296,593 OB/Post Partum 4 389,705 149,193 19,145 1686338 221,367 ICU 153 844 26,389 Nursery/NICU 5 540,005 258,476 47,896 306,372 52,342 Coronary Care Unit 3 233,633 f 318,965 247,656 33,749 281,405 37,5.60 Labor & Delivery/Birthing Center 4 367,256 203,970 56,674 260,644 106 612 Operating & Recovery 4 407,436 169,051 110,445 279,504 127,932 Emergency Room 3 329,269 137,590 217,514 3550104 (25,835) Central Supply 8 8469113 63,386 369,650 433,036 413;077 Laboratory/Blood Bank 10 1,049,463 456,648 456,648 5920816 Radiology/Nuclear Medicine 6 598,217 126,318 172,729 2990047 299,170 Pharmacy/IV 16 1,668,046 93,737 353,875 447,612 11220,434 Cardiopulmonary 8 823,852 161,650 142,470 3040120 5190732 Anesthesia 3 3059242 113,439 81,132 194,571 1100671 P hysical Therapy 1 114,292 54,975 17,230 72 205 42 087 Total 77"485 $4-9 "689 Deductions of Revenue $ (616,440} $ (616,440 Charity & Bad Debt (1,228,879) {1 228,879 Employee Health Ins, Expense $ 351,285 $ 351,285 j351,285 Medical Records 49349 $ 91,402 21,972 113 374 (109,05 Gift Shop/Grounds Maintenance 13,737 13,624 10,941 24,565 (10005 Plant 91,295 211,191 2180952 430,143 {338,848 ant 122 314 470,375 592,689 (592,6$9 Environmental Services 272,076 76,842 348,918 {348,918 Fiscal Affairs/Data Processing 63,557 52,129 116,286 (1,16,2$6 Business Office/Credit & Collect 180,425 1630549 283,974 Personnel (283,974 22,291 17,571 39,862 (39,862 Administration 51,630 17,314 68,944 (68,944 Quality Cw1trol 21,330 59220 266550 ((26,560 General & Administrative 170143 227,165 227,165 210,022 Dm Iciation 298,789 298s789 (298j789 Gain (Loss) From Operation 704$29922,544 Non-Operating Revenue 212750 Foundation 24,966 212,007 24,966 Total $8,825,752 $4,295,237 $49104,792 $80400,029 $425,723 FLOW MEMORIAL HOSPITAL Page 5 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS May 31, 1983 Beginning Balance Current Month Year-To-Date Cash Received from: Active Patient Accounts $ 960,968 $7,853,091 Bad Debt Accounts 3,595 63,052 Cafeteria 12,291 95,332 Appropriations/Donations 14,694 305,045 Other 16,059 Total Cash 631,577 TOTAL CASH 1,00 7 607 8 948 O97 Cash Disbursements: Payroll $ 431,129 $3,850,676 Payroll Taxes 689539 578558 Patient Refunds 25,629 2061461 Capital Assets 4 525 132,295 Notes Payable 18460 -Other 410,063 142,084 Total Disbursements 958,345 3,908,155 Cash Balance 9191 132" j U3 Cash Investments 305,464 305464 Total Cash ' Gross Patient Revenue $11501,257 $10 290,021 ~J Less: Allowances (84,049) 1699 390) Net Patient Revenue IT 14111208 $-T,.. Cash Jteceived on Patient Accounts $ 960,968 $ 7 853,091 Less. Patient Refunds (2529) 206 461) Net Cash on Patient Accounts 935$3'37 $ 1 Cash Received as.% of Revenue 66,0% 79.7% f A Page 6 FLOW MEMORIAL HOSPITAL AGED ACCOUNTS RECEIVABLE SUMMARY May, 31, 1982 i Primary Payor Current 31-60 61-90 _ 91-120 121-150 150+ Total % of A/R Medicare 421,535 599473 120413 6,075 20430 13,331 515,257 13.0% --1 Medicaid 1220115 27,212 69,346 25,530 7,722 16,332 268,257 .6.7% Blue Cross 92,912 33,090 6,506 20888 31151 232 1389779 3,5% Commercial Ins. 639,528 208,477 138,111 81,346 44077 57,746 11169,385 29.4 Self-Pay 532,638 278,120 224,903 2080080 1480400 341,223 1,733,364 43,5% Balance after Ins. 60,897 16 784 8,969 1,770 15 861 51,591 1551872 3^ -1'8b9,bZb 623,1156 -4U-9 TW__ MOM 48004551 30980,74 100.0z In-House ' Total A/k 4060378 A/R by % 47,0% 15.6% 11.5% 8,2% 5.6% 12.1 % Number of Accounts; Days of Revenue; Accounts Receivalbe 94,0 In-House 9 5 Total 'fMX r F L 0 W MEMORIAL 11 0SPITA1. Pagel AGED ACCOUNTS PAYABLE May 31, 1983 Deferred Pa able Current 31-60 60-90 Total Trade Vendors $2350691 $212,281 $ 750237 $5231209 Fees Payable 84 090 51,044 42,867 1789001 r' Accrued Payables 43$15 43,515 Estimated Payable 143,541 ~ 143,841 Deferred Audit Fee $ 14,650 14,650 $ 14,650 $606,837 $263,325 $118,104 $902,916 Page 8 FLOW MEMORIAL HOSPITAL HOME HEALTH BALANCE SHEET May 31, 1983 ASSETS LIABILITIES Cash $ 69,915 Accounts Payable $ Accounts Receivable 73,078 Payable due Flow 18,911 $143,002 Accrued Payroll 80908 Inventory 1 844 Total Liabilities $279819 Total Current Assets $1449846 EQUIPMENT CAPITAL Furniture & Equipment $ 1,615 Pledges & Gifts $ 115 Less Accumulated Depreciation (1,346) Gen. Fund Bal., Beg, of Yr. 113,815 1. Retained Earnings Current Yr. 3,366 Net Equipment $ 269 Total Capital $1170296 TOTAL OPERATING FUND $145,115 TOTAL OPERATING FUND $145,115 1 1 Page 9 FLOW MEMORIAL HOSPITAL HOME HEALTH STATEMENT OF REVENUES AND EXPENSES May 31, 1983 REVENUES Patient Revenues $35,083 $254,763 Deductions of Revenue (6,045) (58,737) Net Revenues $29,038 $1960026 EXPENSES i Payroll & FICA $18,216 $1619973 Purc. Service 1,094 6,351 Supplies 870 10,117 Travel 1,526 11,185 Employee Benefits 463 29762 Depreciation 269 Net Expenses $22,169 $192,657 Excess of Revenues Over Expenses $ 6 869 $ 3,366 i 10x20124 31 MAY 1983 CHARITY REPORT PAGE b L PATIENT PAT. ID.... PT FC. OUARANtOR NAME...:, ADDRESS CITY.,....., 8T YIP.. DIG.OTE, AMOUNT,,. BARNETT, EFP I E 40006632 ER MC DAUNEtT,EFFIE ,J 2229 CARROLL- DENTDN '"TX'"76201 02/25/83-7" -hit 00 - OATE'R,JENNIFER L 000050SR IP BAI rOOE,JANICE Bat, after NA 117 CHIBHOLM TRAIL VALLEY VIEW T%,7627 06/16/02 -102, 00 '~f+t L, OEDAgD,LAURq 10017077 1P CO DEOARO,LAURA Aal. after 14A - I 1307-C SHERRY DR MCKINNEY TX 99999 04/09/83 -44,49 DENNETT,KBRRY WAYNE 400184412 ER MO MORENO,ERNESTINE 512 RAILROAD AVE NINA DENTON Tx 76201 04/14/83 Da -5 00 Dal, after MA BLALOCK,TERRY A 10011146 IP CO BLALOCK,TERRY A 103 E LAKE ST LAKE DALLAS TX 750b5 03/11/8) 173173 U ra>~ BRANTLEY,CHARLIE 00008706 IP MC BRANTLEY,CHARLIE 8301 DELL AVENUE Tex ReDENTON hab. T% 76201 01/24103 -44.00 ~ ;J BULLARDDecsed/No DUE 40002420 ER MO BULLARD,q}IN SUE 1606 VILLAGE CAST NOegDENTONa550tS - T% 76201 02110/83 -fY 00 s BURROUGHS,CLARA 00010900 IP Mp DURROUGHD,NAYrvB Dal, after MA 130,9 SNYDER _ DENTDN TX 76201 04/ / ' 16/87 -20.50 V DAVID,HEITH 0 00017269 ER MO DOTSON,EILEEN Bal. after NA w toe S. 4UDDELL N20 DENTDN TX 76201 01150/83 -12 GO'~r-~~I J Bal. after NA EAKEA,MAMIE D 00019703 IP MC EAKER,MAMIE 415 FRY N1 DENTDN rK 76201 b1/29/8a ti v ELMAN,DORDTHV C. 50082648 '1P BP ELMAN,DOROTHY C. 560 Dal, after MA S TWITTY THD COLONY TX 70306 05/04/83,1,. 26810, 00 EN0L78H,JDHN CROCKETT 10021327 IP OP ENOLISH,JOHN CROCKETT 1109 N ELM Court Order , DENTDN Indigent Care 4/26/83 -1x322,50 J FRANKS,8ILL W " 00013150 IP CO FRANKB,BILL 607 W MULBERRY DENTDN x ~-TK 76201 01/124/83 MHMA a T% Y6207" 0 X119. 64 3 OARCIA,FRUTOSO 10001717 IP MC OARCIA,FRUTOSO 1017 PEAK DENTON Tk 76201, 02/I0/83 V OARZA,DEfBJt9 40016253 ER CC OARZA,DENNIS DTN CO JAIL Bal. DENTDN TX 76201 04103183 -57,55 OEOPFRSGN,ROUERT 40020785 ER CC DENTDN CO. JAIL EAST MCKINNEY DentaDDENTONa11 e 17 ' s---TX`"76203'05/132/63 -5,Oo COODMAN,CHARLEG E 00026070 IP R IADODMAN,CHARLEB BOX 84 ERA _ _ T%76238 10/f2/G2+13:00 OREATNQUBE,WANDA D. 90000394 OP SPI Denton Co, Bail V Tex. Rehab. OAEATHOUSE,WANDA 0. 2502 LATTIMORE DENTDN TX 76201 02/16/83 # 112,00 HENNEN,RICKY L 40014136 ER MD HENNEN, LINDA D 110 MARSHAL DENTON TX 76201 03/127/83 ' '°^^78:40 -a,. ~ HENNEBSEY,MARY A 00031343 IP 8P HENNE88EY,MARY 0 Dal, after MA kr ' AT 3 BOk 181 ROANOKE TX 76262 12122387 -4,162,10 V L, H1LL,MITCHELL C, 40020372 ER CC DENTDN CO JAIL 301 E. MCKINNEY IndigeDENTON T% 76201 04/72/83 -48.00 1 HUFF, THOMAS U. 40026098 ER CC DENTDN CO JAIL ' r DENTDN CO JAIL BeAto Cn ;ail L 6MON 7X 76201 05113108 -67.50 ~~111 4 HUFF, THOMAS BRADLEY 40019424 ER CC HUFF,THOMAS BRADLEY DENTDN CO JAIL DentUUPONa11 Tk 76201 04118/81~¢i50 Denton Co JaCI JAMEB,JERDME 0003$495 1P DA( JAMEB,JERtlME 106 OARFIELD JER<~EY CITY NJ 07300 11/05/82 39.83 , JONBB, JOHN '-00036954 IP CO JONES, JOHN 609 NUJ FOURTH M11HR L ~3{{ yy OKLAHOMA- " 0K49999 03114/00 .~3G.00 t°T"I JONCB,RACHEL E 70000039 OP MO MCDADE,HAZEL 104 80 RUDDELL DUNi'4 DENTDN TX 76201 01/31/03 -211,00 1IIII J 1. LOCKRIOOE,PATTY ANN 00041707 IP BAI LOCKRIDOE,JERRY AT I BOX 308 Dal, USE RA YX 762646 06/22/82 Bptt CCaR -848.96 ~ MATAiAMELIA 10014561 IP MD MATA,AIIELIA 990 8 CHARL88 N270 Indl gi.EN LLE -Tk 78067 04113/93`1 Dal, after KA. i 10:20:36 31 MAY 1983 CHARITY REPORT PAGE i, 1, PATIENT PAT.ID.... PT FC. OUANANTOR NAME.......... ADDRESti CITY.......... BY 71P.. DIS.OTE. AMOUNT... MATTHEWS, MARY SUE 00044164 IP MD MATTHEWS, MARY 820 ROBERTSON OENYON 'TX 76201 12/I7/S2 =17.00 13 L Dal, after MA MEREDITH,SARAH L 00046359 ER MCS MEREOIT11,800 P 0 BOX 743 FRISCO TX 75034 06/09/82 -18.45 Bal, after MA MILLER,BILL 00046730 IP SP MILLER,BILL 625 FT WORTH DR 023 DENTON TX 76201 02/06/82 76.80 Dal, after MA MILLER,BILLY L 00046763 ER SP MtLLER.BtLLY ROYAL OAKS, LOY 307 DENTON TX 76201'11/2t/82 --70,00',-r V Bal. after MA ti. LJ MtLLER,WALTER A.,111 00047282 IP ADD MILLER,EMILY PD BOX 15097 ASPEN CO 81611 01/21/83 -155.39 r,l Indiggent Care MILLS,LINDA 40022261 OR CC MILLS,LINDA DTN COUNTY JAIL pENTON TX 76201 04/29/83 -98.29 DentonCo. Jail ' MITCHELL,OIRTHA M 00047997 IP MC MITCHELL,OIRTHA 903 ALLEN DENTON TX 76201 16/0ir82 -713.00.. Dal, afteer MA MOSS.JAMES 00049072 iP MCS MOSS,JAHES 0000 SAMARITAN VILLAO DRHTON TX 76201 11/.6182 _-10,00_ Indiggent care f+ NORMAN,RUSY F 70004924 OP 8P NORMAN,RUDY F 2924 TOMLEE DENTON TX 76201 03/27/83 -13.63 / J I To. Rehab. NORMILE,WILLIE 40014797 OR MC NORMILE,WILLIE BEAUMONT NURSING EN DENT014 TX 76201 03/31/o -7, Dal. aft r 14A ' J PINKSTON,CAROLYN 40015749 ER MD PINASTON,CAROLYN 312 RUDDELL Ntl2 DEN ON TX 76201 04/03/83 13,00 aa~ff~~ge _ 65 iJ- PINKSTON,CHRISTIE D 00054163 OR 14D PINKSTON,CARDLYN 312 RUDDELL #112 Bat DENTON A TX 76201 10119/82 -34.25 1 RANKIN,MARIANNE 00099608 ER MC RANKIN,LYNN 1212 THOMAS - -Ba1.D f~#nNMA - TX'7620 12/26/82 22;00 V , Doceaas~~dd//Rp assets AATHKE,ADOLPH 00055663 ER MC RATHKE,ADOLPH CARE INN F,AN A • TX 76266 12/01/87 -57.90 41r R1LEY,PAT 00057364 OR SP AILEY,PAT 1211 BRIDGES ST Uecea ~4 ON assets TX 76201 01/15/83 -620.75 D J ROBINSON,WILLIAM R 00058321 IP MO RODIIISON WILLIAM 1222 W OAK #2 Ind IgERNTONYe TX 76201 10/22/82 V 11•'75 III aEfrt1,s~ c~ R088,8ELENA J 00099238 OR MO JACKSON,LINDA 902 8 RUDDELL N177 De1. OENTONMa 7X 76201 12130/82_ -40.75 ` j 1i SANCHEI,TRANOVILLA 10005406 tP MC fOANCHEZ,TRANOUILLA 2212 PT WORTH #70 Ba1,AN N a TX 76201 02/16/83 -26.00 J SCOT ',GLAD INE 0 g~~ arteC 0061531 1P MO BCOTL OLAtliNE POBOX 1133/904 RUODEL AWNMA'TX 76201 10/12/82 -26,00 {f n+ SEMORA,DAWN M 00041903 IP ADD SEMORA,DAWN 2237 RIVERVIEW Dal.1~VtINGMA TX 7JQ60 09/09/82 -55.53 r^I J BORT,JONAS W 00065250 ER SP SHORT,DAPHNE 304 8 RUDDELL #03 MNHRDENTON TX 76201 08/28/82 -5100 J SPENCER, OEOROS V 00069597 IP MCB SPENCER, GEORGE 116 HANIJ Jnd1RUA re, TX 76201" f 1/01/8! -307. 1tl I r'' I BTOLBERO,ESTHER 00067956 IP MC STOLBERG,EBTHER 2217 EMER80N LANE fndl~~~1~~Nre v_ TX 76201 10/01/87 -264.80 J BWISHER,MINNtE M. 40( ,r96 'R MC TAYLOR,ROSA B. 3305 WERRUSH Deceaift assets TX 76201 04/19/83 -10.20 'j 1 TALAMANTEB,MARIA 10014359 IP SP TALAMANTES,AI'TURC RT 1 BOX 221 Dal. SAW,,", TX 76266 03/26/83 -646 20"' , THAYER,OENEVtENE 10015873 IP CO THAYER,ARNOLD 1618 S HWV 121 1nd'L~~tWit0F LE TX 75067 04/04/87 -41.37 y THONG PIIANH,VANIGONE 00069518 IP MD TkONOPHANH,VANISONE 909 N LOOP 298 M"'IDENTON TX 7620t t2111/821 -26,000 TURPEN,CHRISTINEI 00070599 OP BP TURPCN,C14AIBYINE RY t BOX L0 Salldr~RV C TX 76273 07/29/82-'--74,75 "V V 9a1, after 14A " U 10,20:47 31 MAY 1983 CHARITY REPORT PACE 3. a• - , ti,. L! PATIENT, PAT.10.,., PT FC. OUANANIOR NAME.,.,...,.,. ADDRESS... CITY BY ZIP.. DI6,DTE AMOUNT,.. UNMATCHED,CAbH 00070896 IP CC ► OV6015.00 UIIMATCHED, CASH 00070896 IP CC T% 00000 83 7 , V VANCE, MARY J 10007425 IP MD VANCE,MARY J DENTON NURSING CENTER DENTON T% 76201 03/12/83 -32.00 +J+~ ~ Dal, after MA VANJAMES,RAYMOND IOOP1558 IP 8P VANJAMEB,RAYMOND AT i BOX I-A PONDER TX 76254 04/.6/83 5:173 85 1 V Indigent Care , ; 17~"a,,,~,t WALL INO,CAROLYN J. 10012599 IP SP WALLINO,CAROLYN J, $21 WINDSOR 039 DENTON 76201_03/10183 ~q19 BO, Indigent Care I„ WALTERS,MARY 10018398 IP MO WALTERS,MARY EDMUND OAKS CNT LEWISVILLE TX 75067 04/15/63 23 50, Sal, after MA r { ~I WHEELER,WARREN M 00073700 OR 80 , DENT014 COUNTY JAIL DENTON TX 76201-W12/82 31 00 - it Denton Co. Jell tJ v WILSON, JOE 10021871 1P CC WILSON,JOE DENTON COUNTY JAIL AT DENTON TX 76201 05/06/83 -3,026.80 Denton Co', Jail 1, tV WILODN,MARION 70005483 OP MD WILSON,MARION PO 642 WESTMINSTER TX 99999 04/01/03 -13,63 Tex, Rehab, WOELKE,ARNOLD OOD759II ER MC WOELKE,ARNOLD BEAVMONT NURSINO HOMO DENTONYX76201 12/94/e2 =`'»4'J 00 {v'~ ` Indigent Care , WR10HT,DENNIS 00076307 'IP CO WR10HT,DENNIS DENTON COUNTY JAIL DENTON TX 76201 0146/83 -17,71 MHMR I ZACHARY,KRIBTINA MARI 40011299 ER SP ZACHARY, MARY PO BOX 623 DENTON TX 76901 03/tO/83 -5,00 Dal, after MA 1 " t ZACHARY,MARY A. 40016461. ER 8P ZACHARY,MARY A. P.O. BOX 623 PRIENOS DENTON "--'YX _1620100---i' Ob/S3 S V Dal, after MA ZACHARY,MARY ALICE 40011306 ER SP ZACHARY,MARY ALICE PO BOX 623 DENTON TX, 76201 03/15/83 -5-00 Dal, after MA Ib,40S 77 Y I 1 t ' J _ M Ol JUN 19U1 .....y. f art v W a I'T E- O r p R E P O R T PACK J pATILNf NAME PAT II) U10C110 Oro•DAL NEW-CHO NEW-PAY W-0 DAL RC TYPE CYCLE LOT, PMT + AOE RO TYRi IIAYNCRIHIMDFHLY A OOtlOtlFIDO 07/00/02 xx 9& 50 0.00 94 (1UA1?AIIr0A INFORMATION YATnICIA HAYNnR 0. 00 96, 30 Sp am 0 itb9 1 "f, ~ :r~l R11d WOOD DENTON, TN - 76801 ~I DnuLalrr oev R Non-dispersed; should be FC•4 xx GUAHANIOR INFORMATION *000060018 SAULS 10.00 0.00 0,00 10.00 Sp IP 4• 06/'+ O86 'PEACH APT L -DENTON) 'TX--76201 UP aQB/Breeiy with.fer4qry Lewis.. h.,,r 1. : *xrr W-0 TOTALS xxxx I11.40 0.00_...... 1 '+,lyk, jkr~ 0.00 Ill. 50 I 1 ~ ' r „ a. { 1W it ru ~ I , . r.r w'~:. d...t. s'+G:w...i~i. i.u1: ~1f ei• -T'--.... .r. r m IiI fl Nr ' F . rµ. L Y V i 60 4,& aS' i III ~ i I ..r.M..i,nNa;.Hq,~1r,a:•W,:...1v-...,r,..VWMIM,rw-...*~"~ U1 JUN 1903 w 0 11 7 E- 0 F r R E P 0 R 'r PA" 12 P~ rAT1FN'r NAME PAT ID 010CHO REQ-DAL NEW-CHQ NEVI-PAY W-0 DAL FC TYPE CYCLE LBT.POIT AGE PO TYPE. 11. --m H L ABRAHAM,DILLY M 00001073 12/04102 78.28 0.00 0.00 75,29 EP ER 1~ '17$~~ 2 QUARANrOR INFORMATION +a BILLY ABRAHAM PO BOX 832706 GRAND PRAIRIE r TX 78083-UTL n L ADAMSON, L16A A 00003313 11/01/82 30.00 0, p0 0.00 3p. 00 8r ER J 212 - 2 1 GUARANTOR INFORMATION as - WAVNE' DOBBON RT--11, BOX 34 WEST-,-TERRA-HAUTE, -IN OtlQ00.11.9 - AOUILAR, MARY DOOD1479 10/04182 52.00 O. 00 0, 00 52. 00 8P OR 1 t 240 2 0't " , as pUARAN1tlR INFORMATION AN MARY AGlI1LAR 932 SO ELM 00- DENTON, TX---76201 - -•R.R W. u: t ALDURDY.AM11CH D 00001701 01120/03 30.00 O.Ob 0,00 38.00 &P ER 3 129 2 I I a+ GUARANTOR INFORMATION as SANDRA ALDURDY 112 SOUTH RUDDELL AP724 :pENTpN,-TX-- 76201.k.R ALEXANDER, JEFrREY 00001784 09/05102 69.50 0.00 0.00 694 50 SP ER 3. 11/10/82 269 2 4.,k a+ GUARANTOR INFORMATION +a HAZEL OKOL1 312 CARDINAL ND1 - DENTON, T% 76201 Arr, nor-kept . ALEXANDER, LEEANNE 00001796' 1."/24/02 30, OD 0. 00 0.00 08. 00 OP ER 4 I59 2 ~ +a GUARANTOR INFORMATION aa., PATRICIA AI-XANDCR - -Ell RUTH DENTON, TX--76201 t i i. I e"r ALCXANDER,SHCILA 0 00001059 01/23/83 66.50 0.00 0.00 66.50 8P OR 3 129 R P..~. ~ as GUARANTOR INFORMATION as JtlO AL.E%ANDCU RT I BOX 67 AUDREYr--T% 76227 j V ALJOrl, NAD1A 401107627 02/20/03 24.25 0,00 0.00 24.20 SP ER . 3 O p./28/03 92 R A# GUARANTOR INPORMATION +a MOHAMMED MUFTI --521 WINDSOR DENTON,--TX--76201 76201 .N,R20/95 466~~, YIWy 1~/ ti~Jc i 12.60 AaaAGUARANTtlflutNFpRMATIbN aM00ABDULJA(.KATHIp1 12.00 04000JOYCE LON00297-- DENTONtSP ER L ALLL'Nr MARK T 00009009 10/27/02 29, 75 0.00 0.00 - 29.70 BAl OP '4 12/06/02 217 2 a+ OUARANYOR INFORMATION as MARK ALLEN 008 FRAME- DENTON,..TX -•76201---._.---- I • • P 1 e I - V ALLCN,7pMMY 00002162 10/31/82 B8.00 0.00 0.00 50.00 pr ER 4 210 hf " ' as PUARANTbR INFORMATION +r TOMMY ALLEN 3ROO ATLAS GENTONi TX- 76203 UYL, _ ■L : ; w r.~ L ALLIED, LAVON 00002352 12/3D/01 63. 10 0.00 0.00 63,10 DP CR 4 153 2 as GUARANTOR INFORMATION a+ LAVON ALLRED 661-MILTON LEWI9VILLEr TX--70067- ;'E1 ~ j ALVARApU! CORINA 00002436 12/25/02 30.00 0.00 0.00 30.00 8A ER' 4 r , 158 , ,F~ 2 rr`;` 11 t N. , GUARANTOR INFORMATION as DAVID ALVARADO 003 PANHANDLE ¢ENT(1N,r YX-•76201-•- ALVARADO, CARDS A 00002444 09/12/09 44,00 0.00 0.00 44.60 IV ,ER 2 262 2;~ a+ GUARANTOR INFORMATION +a DAVID ALVARADO 803 PANHANDLE DENTONr T% L ALVESoOSIVALDOF 00009451 12/21/02 99.50 0.00 0.00 99-00 SP ER 3 162R 1t. 5r1r' as GUARANTOR INFORMATION ra ALVES ORVALDD 826 SMITH ST DENTON, TX--76201- I ANDERSDN,ELGIE B 00009004 11/26/82 39.00 0.00 0.00 39.00 SP ER 4 167 2 n1/ 1,. all GUARANTOR INFORMATION as ELOIE ANDERSON -1710 VILLAGE EAST 0203 DENTON, -TX - -76201.N.R - ANDCROONr CI.019 0 00002092 12/30/02 43.00 0, 00 0.00 43.00 RP ER 4 153 2 g+ QUARANrOR INFORMATION as rLGIU ANDIRNON 1710 VILLAGE EAST 0,103 DCNrpN,-TX 76201 N,R, 4 ANDUf700N,ELGIE 0 00002600 10/17/02 11.80 0.00 0.00 11.80 BP ER 3 10/lS/S2 227 Q r'U a+ GUARANTOR INFORMATION as ELGIE ANDERSON 1710 VILLAGE CAST 0203- DENTON, -TX - 76201- .....-..._.:~..i+. ~~..:u. u.....«. . X3.4 ' . ✓ , f{' !4 r I ' ' •`I 'Y71 !.6 ~.Sr I Al r! 01 JUN 19U;l W R I ' 7 C D P F R E P o n T PATIENT NAME: PAT II) UIOCFR ' k„ bGR-CAL IVHW-CHO NEW-PAY W-0 UAL FC TYPE CYCLE LAT, PMT PAGE 3 ;1tF+ AGE PO TYPE _ ^ _ , ANIIRCWA, nNN r ODU02s!pM1 10/~'tl/B2 74. 0o 1O.001 0.00 74 00 11) BR 4 rr GUARANTOR INFORMATION wr ANN ANUR@WS 1BO1 MEADOWS 817 BUNTON, TX 76201 - N R 216 2 \1 r AGUIRRE, ANTUIE J OOUOc949 10/lU/U3 06.00 a. pO O. UO 06.00 $h ER 3. 2,76 2 ,i AR+Ii+1GpLA,UARN7UAOLGNDA 1NFOHMATION w+ JEBUS AGUIRRE PO RO% 21 U Yr-TX-.76it27 00003i105 - -ER -----N.R,__ ' 11/!b/Sit 0.00 0. 00 63, 00 EP OP 3 qD +r GUARANTOR INFORMATION rr a ENI)A AANIO1,A 63. 00 4 SILVEItDCME MHP 080 DBNTUN, J M,R,. 60 T% -76001 -1 AYERf3, JEDOICA 000091!63 GUARANTOR INFORMATION 10/21 /08 50.10 0.00 PRBD AYERB 0.00 004 10 SP ER 3 023 J? +r SHELL Y BAILEY 2404 HINKL6' DENTON,--TX-,76201 DAILEY, SHLL.LY 0 00004101 oq/t^.q/BO 35.00 0. aU 0.00 35-00 ADD OP 4 Bog p rr GUARANTOR INFORMATION ww . 029 LONDONDERRY DENTON, TX 76201 N,R,..._.... IIAI(ER,ANaIE I. 00004150 IS/OD/OL 0.00 43.20 8P ER 2 200 2 r+ GUARANTOR INFORMATION +r RUBRELL DA(ER 43.25 0.00 RT J DOX 1006 DENTON, TX 7b20f BAKCR,ANO L' L. GUARANTOR I r w I' 40033034 03/29/03 4U. 20 0.00 0, 00 40, 28 BP BR 4 yg 2w INFORMATION r+ RUSRFLL BAKER TROPICANA ]NN #317 - DENTON, T%- 76201-,.,. --N,R. bAKBRrDARLA 0 00004104 09/08/82 35.00 0.00 0.00 38.00 SP ER 2 fr OVARANIOR INFORMATION RUOSELL BARER 266 2 ' R7, 1 BOX 5006- bENTONr-,TX 76201 ..N R ~ • i BAKER,TIM A 00004;373 12/16/02 78, g0 0.00 0.00 78.90 BP ER 3 167 8 •,';r rr GUARANTOR INFORMATION TIM IIAKFN 02(6 ADAMS 090401- LF.WIBV11.L8, TX s. BALOGH, DAVID 00004333 OD/03/09 3U. 00 0, GO 0. 00 30. 00 ADD ER { 302 2 r+ GUARANTOR INFORMATION DAVID DAL09I4 109 W FOURTH WEATHERFORD, --TX76086..r __.N A,..~.._. BANDA, SONNY 000D4374 00/15/Sit 55.50 0, 00 0100 05. 00 SP ER 2 290 2 1 f . tJ rw GUARANTOR INFORMATION +w BONNY BAND, 2200 BERNARD DENTON, TX 76201 _N,R, L DANKO,EDDIE 00004302 11/30/8R 81,80 0.00 b. 00 81,00 BP EA 4 SB3 2 W GUARAN'fUh INFORMATION CUD1E RANKS P 0 BOX 883 BANGER, TX, 76266 H.R. DARUER, MARTHA A 00004484 01/30/d3 30,00 0,00 0.00 35.00 ADD ER A l22 8 cJ GUARANTOR INFORMATION ww MARTHA DAABER RT R BOX 1B61 DENTON, TX 76201 UTL L' tlARLG!L JAHEiU A 00004556 0607/02 149.00 0.00 0.00 149. 00 ADD ER 3 339 2 / GUARANTOR INFORMATION ww JAMES BARLOW 1910 N RUDDFLL 0216_ DGNTON, TX 76201--- UTL L BARNUTT,81IElLA M 00004739 00/16/82 45,00 0.00 0, 00 90.00 ADD ER 3 RBq 8 !i w+ GUARANTOR INFORMATION CHARLES DARNBTT AT-2 BOX 43 AUBRGY,-TX 76227 - A.R. Wes ' DARRArGDURGd V 00004708 10/26/02 30.00 0.00 0.00 38,00 ID ER +R GUARANTOR INFORMATION rw ODtlRGI! BARRA AT 1 BOX 227 FRISCO, TX 78034 4 N.R 210 2 f J _ , 1. BARTIL SARA J 00004)!0 O8/fS/S< GVARAN'fOll INFORMATION 611.00 0.00 0.00 60.00 SP OF 3 287 2 L OAfty 090111 900 LAWRGNCF STREET GAINCfiV1LL4, T% 76246.11, 14' BARTTB,JANIT 00004994 OJ/00/B3 77.70 0.00 0.00 77.70 SP ER 2 " Of GUARANTOR INFORMATION w+ DARRVL DAf1TT0 PO BOX 788 BANGER, TX 76266 044 2 _..UTL V , ` x. , OR ti 001 01 JUN 19t13 WR 117E 0r r R1. POR T ^PAOR4 PATIVNT NAME PAT IEI 0IS011G DEG--11A4 NCW-CHG NCW-f41Y W-0 DAL KC TYPE CYCLE LOT,PMT AGE FO TYPE , Ill _ ~ _ ° - _ V i.T BATT6E,JARRDA L 00000090 10/16/0a 34.00 0.00 0.00 04.00 DAI IP 3 12/14/132 229 Q rl fJ wr QUARAN'fOR INFORMATION rr WILLIE F BARRETT 830 SKINNER DENTON,-TX --76201 - DATTL68,SAM A 00008106 11/25/0.^. 69,40 0,00 0.00 69.46 UP ER, 4: IBS 2 rw GUARANTOR INFORMATION,** SAM BATTLES BOX 169 ARGYLB, TX--76226 - N,R. - - D,, Ilw DAYLESR,RAYMOND A 00005173 12/31/02 30.00 0.00 0,00 38.00 9P ER 4 152 J R f ww GUARANTOR INFORMATION rw RAYMONII DAYI.PbS 0390 RUPERT DALLAS, TX 75225 - L' DEALG, KEVIN OOOODP64 11/13/132 47.25 0.00 0.00 47. 25 DP ER 2 rw GUARANTOR INFORMATION wr JAM£B DEALE 200 2 lJ 713 N LOCUST _ N A DENTON,TX 76RO1 DECK, PATTY A 00005371 I813019D 61.50 0.00 0, Otl 61. SU 9P ER 4 153 t + ' •~q I ww INFORMATION GUARANTOR wr PATTY BECK all ROBE DENTbN Tk- 76201 :t DEBULE, JU3T1N 00005512 l0/0,'/D2 18.00 0.00 0.00 10.00 DAI ER 1 11/22/82 242 2 It'J rr GUARANTOR INFORMATION rw RAYMOND BEEDI_L' RT 2 BOX 241 -ARGYLE,-YX--76226 1JJ Iv BEEDLE, SCOTT C 00005520 01/30/03 03.50 45.00 0.00 60,50 BP ER 4 ¢ wr GUARANTOR INFORMATION rr RAYMOND BESDLF V Ifi R RT a BOX .41 AROYL13,-Tk -76226 ANk DCBMAN, GUY W 00005530 09/09/O2 38, 00 0.00 0.00 313. 00 DP ER 2 265 24 EIE rw GUARANTOR INFORMATION rw GUY BEEMAN 46 SOUTH POND DENTON, TX-76201 - BELCHER,0121131£ J ww GUARANTOR INFORMATION 00005611 DEBBIE 03/01/02 7L 75 0 9 71,75 9P ER { QOA R +k Y1n gEBgiE BCI.CHF.I1 310 E HUFFPtAN AN KRUM, TX .76249 ANK DDLCHER,KARLA 00005652 11/03/02 63,50 0.00 0.00 63,50 SP DP 3 210 2 wr QUARANTOR INFORMATION ww JIMMY BELCHER RT.O BOX 152 DENTON, -TX--76201 ANK- V UELCHL`R, KARL.A 00005660 10/16/99 30,00 0.00 0.00 30,00 SP Op 0 s f 1 rw GUARANTOR INPORMATION JIMMY DELC)IPR `28 R 4''IJ • 4" n r S Ddk 132 DENTON, -TX . 76201. _ AWL-, BELL, DITHIA R 00000736 10/0l /112 77.75 0,00 U, 00 77.70 SP ER 1 00 GUARANTOR INFORMATION rw STANLEY BELL 243 2 iJ .1820 RUUDEL,L APT 132... DGNTUNr 7% .,...76201- ANK _ L BELL,DIT141A R 00005744 11/06/02 30.60 0.00 0,00 4 rw GUARANTOR INFORMATION rw STANLEY DELL 38' 60 BP ER f 207 2 . 1820 RUdDELL APT 132 DENTdN,..TX ...76,701------ ANK , 811LL,DANIEL J 00005769 01/29/03 13,50 0,00 0.00 18.50 UP Op 3- 123 2 J rr GUARANTOR INFORMATION wr JDBEPH JR BELL -PO BOX 928 ROANOKE, TX - 76262.--. R DELL,DELAN'IE A 00OD5777 11/27/62 30.00 0.00 0.00 30.00 BP ER 4 1116 R CJ wr GUARANTOR INFORMATION rr ANDRE R BELL Of0 PARK LANE. MINTON) - TX-- 76201---.- . JYr.... NOR, - ~Y_. w. w....:w L. 44 ^„r .n( BL•NAVIDE8,DEM£C1A g0005942 12/01/00 34.79 0.00 rw GUARANTOR INFORMATION rr MANUEL DENAVIUGB 501 0.00 34,75 ADD ER 4 102 2 tr 4 __..1501 MCCdRMtCK OENTON,-TX-'76201.._ _._._UTL V BENNIETT, BRAD L 00006049 01/91 /83 60.00 0, Otl 0.00 50.00 OP ER 3 - - ~r QUARANINR INFORMATION wM BRAD UENNCT'f RT I= BOX 7 11-4 KRUM, 'fk --76249 • 131 2 NOR, V BL•NTLGY,HCRUER7 J 00006140 11/V9/U0 39.60 0.00 0.00 , 39,00 9P ER 4 N♦ GUARANTOR INFORMATION rw 0CRBGRT BONTLEY. 994.6.CHARL89 0404.--LBWISVIIII TX--70067-11A.-- 194 2 ,r. 1r ` r r^F , I NOEL '*J"l trill + ~t + 1 K 1T1iVifW tlM ,lM=JfilM~:.t t~\ a.. ,~~M. c w~t:^' \t ~ t \ - , * IiNCFW1 ~KaYi.C:C " &AfArittM N•t!4th`1 ♦t. •~•,v, lr..\~'t'-M• \ +i r \ V ~t... "0Mjt"t'tjpt + , , ,,y k+cf 4 1 .r +'r 4QARMIVf1 :!Wv htWl41. \Ml at NI\4 ,'f 11d\M t,,i1. 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A fi///,/ I'), V , /"Wif,' P1 r / - .:(f 11!!' 1 I'. 3r1JffFAl11'l1R 1t~GRVrAfXOMt fJ Wilfir A' Aftf'!/IN/f, 0000 'r ~`AiJr /Wrt If If1r - ` 1 f,1 :1 1 US JUN 19U;J _ n......,.. •NNy. ~ W R 1'7 E ' tl f' I' R G P N !1 T PAGti 5 I'A71F.N'I NAME I'A'f IU N18CI10 11110-DAL NEW-CHO NEW-PAY W-D DAL FC TYPE CYCLE LOT, PMT AGE FG TYPE ' L DERNIIAffDT,LEDLIE A 00006004 01/06/03 0.00 89.90. 0.00. ..99.90 RP OP 3 01111183 96 $ NN Gl1ARANIOR INFORMATION MN LCI3LIE OCRIIANUT PO OtlX 60072 DENTON, TX 76201 UTL - DERRY, BGNIQG 8 . y . 11w 00006310 O9/0i:/8,. 4L 50 0100 0. 00 41.50 8p ER 1 -r NN PUARANIUn INFORMATION NN JAMES DERRY 27.. 2 r vJ 1080 8 CHARLES 0229 LEWI8V1LL8, TX 70067, HR - ~ BINOIIAMrHCATHE•R A OOOOG600 12/20/82 30.00 0.00 0.00 3B. b0 ADD ER 4 150 $ NN GIIARANYbR INFORMATION NN TERRY UINOHAM RT 2 BOX llb AUBREYrTX 76227 NLNA DINGIIAM,RUSOELL P 00006660 07/10/02 41.00 0.00 0.00. 41.50 SD EA 2 326 2 r1;; ti NN GUARANTOR INFORMATION NN RUSSELL DINGHAM 6420 AOCAY PT CTR RT-3- -ROANOKE, TX--76262 NR L. ` 0[NIJ9,CHUCK 00006676 121J8/02 56.00 0.00 0.00 56.00 8P ER 3 Sb6 V I~ NN GUARANTOR INFORMATION NN CIIUCII BINNS 3641 EDISON AYE M14 SACRAMENTO, CA- 96821 OR -34 "Ii V UIIIABIL, VANNI L 00006684 11/10/02 62.00 0.00 O.Oo 62.00 ADD CR 2 203 2 V NN QUARANTOn INFORMATION NN CHRISTIAN BIRADIL 625 FT WORTH DA M4J- DENTONr T% 76201 - _MLNA L BLACK, GEORGE L 00006932 11/04/82 43.70 0,00 0,00 43.70 8P ER J 209 $ ~i GUARANTOR INFORMATION NN GEORGE CLACK 5080 RECD DENTON, TX •76201 ..NpI tI,i OLACHWI:LL,OLYNN C 000070(30 12/28/(32 70,00 0.00 Y'I MN GVARANTOR INFORMATION NN ULYNN BLACKWELL ' 0.00 70.00 8P ER 4 105 2 tt~,1 ~ 610 CARDINAL IIDb - DGNTONr-T% 76203- - --NR BLA1R)GARY R 00007195 10/24/82 20, 00 0.00 0.00 20. 00 ID ER ' 4 , 220 2 NN GUARANTOR INFORMATION MN MARTY BLA1R COX 162 RT t, LITTLE ELM, TX- 75068- wNR .mss GLAIR, INEZ 000071'03 I2/IO/82 104. 50 0100 0.00 L04.0 . 0 ADD EA 2 173 2 J NN GUARANTOR INFORMATION NN INEZ BLAIR RT 2 DDX 034 76201, UTL V DLAND,CARLA 00OD7320 10/04/B2 50.00 0.00 O.OO 60.00 8P ER 1 240 2 NN GUARANTOR INFORMATION NM CHARLENE HhWARO 013 PAISLEY DENTON# TX .76201.. .i__. MLNA•- - ' DLANKENSHIP,JR RICHARD 00007419 09/00/02 32,00 0100 0,00 32.00 Ill CR 2- 266 2 NN. GUARANTOR INFORMATION Ni4 OR RICHARD BLANKENSHIP 611 NORTHSIDE LEWISVSLLE,.TX 70067 fr DLANKE1491-IIP,RICHARO 0 00007401 10/03/02 34,20 0.00 0.00 34,20 BP ER 1 01(03183 241 2 NN GUARANTOR INFORMATION NN RICHARD DLANKENRHIP 611 N 816E LEWt8VILLE, TX 70065 NA'- V BLANOCET, MATTHCW 00007430 11117/02 313. 00 0.00 0.00 38-00 SP ER 3 196 2 J Nf GUARANTOR INFORMATION NN AEDECCA RODINOON RT.O 0350 TWIN LAKES -DBNTON,- TX .76^101 - NR-•- V BLOOM, NEVA 00007000 07/20/02 10.30 0.00 0.00 18,39 Sp ER 4 01/10/83 308 2 J NN GUARANTOR INFORMATION NN CHARLGR BLOCH 3210 FALLMCAOOW 8218. DE'NTONr -TX - 76201 NR - - DbONE,CATHERINE 00007006 09106182 19.00 0.00 0,00 19,00 CAI Ip I Ol/Q0/B3 260 2 ) J GUARANTOR INFORMATION 1111 CA'IHCRING BOONE 302 CARDINAL MH-6--DENTON,-TX.-76201.._.-__NR- BORDEN, CALVIN G OD007070 09YV5/B9 69,00 O. OD 0. OD b9, 00 8P EA 4 249 B ~ ~ • 1 MN OUA14ANIOR INFORMATION NN DANNY UOURLAND 015 OMITH AP7 3 DENTON, TX 76201 NR, GOT7Ott3,JEANIE R 00007900 11/29/82 64, 75 0.00 0.00 64, 76 130 ER 4 W NN GUARANTOR INFORMATION NN JEANIE CCTTOMS 184 2 RT 011210 TWIN LAKES- -DENTON, TX- .7b2Ul NA 1 9 6 L 01 JUN 190(1 W It I''r c D r r A E P D 14 T P,A w 1 PATfEN7 NAME f',1'r its I1l OCfIG irEO-UAI. NEW-CIlO NEW-PAY W-0 UAL FC TYPE CYCLE LOT,PMT AGE PG TYPE I tip DOWEN,TAMMY 0 0000(1070 !O/P4102 40.90 0.00 0.00 40.50 8P ER 4 NA 220. 2 xk GUARANTOR INFORMATION kx RICHARD ROWPN 710 WOODLAND DENTON,-TX 76201' - 4 BRUCE, IVORY 40000663 OP/03/83 30.00 0.00 0.00 30.00 ADD ER 3 UT1 116 2 kk GUARANTOR INFORMATION kk NANOA SIMMONS -'200 RUDDELL 033 UENTON, 7X- 76201. -,ARK - ,77" 39. 20 0.00 0, 00 30.20 OP OP 3 840 ',r 8 V BRIBCDE, ROBERT L 000091%9 10/04/D,7 Of GUARANTOR INFORMATION xk RODEII7 BNIBCDR P O BOX 1776 OREENVILLE, TX 75401 8 y DR 19COE, ROBERT L 00009191 00/09/02 $3.20 0.00 0.00' 03.20 9P OP 3 AN% 296 ^ - - kk GUARANTOR INFORMATION kk AODEAT BRISCOE -P'0 BOX 1776-GREENVILLE,.-TX -70401 ' DROAbUB, DDRifl Otl0tl77J74 l0/0'3/B2 46.25 0.00 0.00 46.25 8P ER f r 241 2 r xk GUARANTOR INFORMATION xx DORIS OROADUB 2DO 8 RUDDELL APT 04 DENTON, TX 76201"- NA - - ` BROCK, PAMfILA 8 00009799 OO/OD/BfI 30, 70 0.00 -8.06 29.84 8P EA 2 /22/03 99 2 111 kk GUARANTOR INFORMATION xx MARVIN BROCK 405 N CHURCH PILOT- POINT, -TX 76200 - - ,ill ` DROKER,JASON L 00009490 12/12/92 38.00 0. OD 0.00 30.00 OP ER 8 171 2 - xk GUARANTOR INFORMATION x0 814ELIA LEE 1219 1/2 SCRIPTURE DENTON, TX- 76201 - HA BROOKS,JEWEL H 00009530 09/04/82 72,00 (1,00 0.00 72.00 SP ER I NR 270 2E 00 GUARANTOR INFORMATION LAURA BROOKS BY -0 SILVERDOME 066--DENTON, TX.76201-,-- _ ~w 1 ~ Y DRODM,VALAItEE J 00009621 .00/13/98 49.75 0.00 0.00 49. 15 ADD ER 2 X304.' 2 v xk GUARANTOR INFORMATION 0x VALARBE BROOM BERNARD 035 AMERICANA--DENTON, TX -76201---NR DRUWN,ANNA L 0000760H 12/10/82 39.00 413. ID 0.00 07, 14 OP ER 2 69 2 W xk DRDWNUL6SLIEAYINFOAMATION xxOD0ANNA 07D941tp0N13/02 46.50 723 HILL DEN70N,"-T% 762201__..'_.. __-ARK it 1r 0, 00 0.00 46.50 8P ER 8 231. 2 ~w v kx GUARANTOR INFORMATION kx LESLIE anO4N 611 BW 293RD FEDERAL WAY - SEATTLE,--WA -•98066 - , V BROWN, MARY 00009920 O1 /CO/8O 4,,. 20 0, 00 0. 00 42, 20 RP ER 3 132 2 ry kk GUARANTOR INFORMATION xk J08EPH br1bWN ^ .00 8 RUDDELL 038-DENTON,-TX.-76201 --------HR- - ✓ `r BROWN, MICHAEL W 00009936 07/04/82 18,00 0.00 0.00 10.00 10 £R., 1 Ah 20/83 332 2 kk GUARANTOR INFORMAYION kk MICHAEL DROWN 418 PIERCE DENTON, TX" 76201 - 60 URDWN, nnolN M 00010009 09/27/02 41, 25 0. OD 0.00 41.20 SP OP 3 HR 247 2 40 GUARANTOR 1NPDAMATION xx RODIN DROWN 522 SMITH DENTON,TX '.76201 r--'---- •-~+IIi No DROWN, WALTER FLOYD 40013404 03/2D/03 111. 00 0.00 0.00 111.00 ADD ER 4 UTL 68 8 r 00 GUARANTOR INFORMATION xk WALTER FLOYD DROWN 313 THOMAS 012 DENTON, TX--76201 - - - - - - DRUCE,JR CHRJBTOPHH 00010223 11129/02 23.09 0.00 0.00 23.59 SP ER 4 R~/18/03 108 2 b kx OUARANTOR INFORMATION kk OR CHRISTOPH ARUCE 1001 E PRAIRJfi DENTON, T% 76201 - DRUCti, KAY It 00010101 10/31 /02 66.50 0. 00 0.00 66,50 8P ER 4 NR 213 2 of OUARANNIR INFORMATION k0 KAY UAUCE 202 WE00 RD DENTON, TX 76801 - - kb' BRUCE,MICHAEL. D 0001081tl 10/29/02 47.00 0,00 0. On 47, DO 8P ER 4 210 2 r , 00 GUARANTOR INFORMATION KAY BRUCE 202 WEED RD DEN(ON, TX- 76201 NR • ~1 ~ 4 i 160 y t' low L Ul JUN 190:7 W R I13 E - OFF R P U R 7 000E 7 y PATIENt NAME PAI III DIfiC110 UEG-DAL- NEW-CHO NEW-PAY W-•0 DAL FC TYPE CYCLE LDT PMT AGE PO TYPE 1 DaaMtlUARANTUAIIINFOAMATION 00ROY0104DUC47 . 70.29 1P'ISOMOR9E 0DENTON.00 ER 2 NA Qbd Q 1 BUCKLEY,VICKIG J 00010494 10/113/02 91, Ell 0. 00 0.00 91.81 DAI iP 3 01/13/83 226 2 _3• GUARANTOR INFORMATION - NR L. DVRDELL, EPIMALEL' 0001061 I 10/01 /U'. 1'9. 00 0. UD 0. DO 15.00 BP ER l O/05/62 243 7 r, as GUARANTOR INFORMATION xx GREGORY 1611E 0BUR 1011'02 R0 10D0X4214LA8UNSH777770067 - ANK , BURGER, JERRY ..'L 00010670 10/12/02 9D.00 0,00 0. UO 55.00 8P OP 3 1232 2 ` „I xx GUARANTOR INFORMATION as JERRY DUROER 140 BELLAIRE DENTUN, TX 7620E V DUAOUON,DEN A 00010710 IP/Ip/O2 69,90 0.00 -02,40 13.10 8P OP 3 012/10/03 111 Q ax GUARANTOR INFORMATION xa MILDNED BURGUON AT 2 BOX 140 SANOER, TX 76266 NR BURKHART,PRANDI R 00010791 01/07/03 83.49 0100 0.00 93.49 DP ER 1 140 2 a► GUARANTOR INFORMATIOi:' rx. SHERRA BURIIHART D34 8 MEALY ,LEWIBVILLE,--TX--79067--- li- 1r DURNETT, PEACHES J 00010001 10/02/02 90, 30 0.00 0. 00 90.35 8P ER 1 242 2 ~Ix GUARANTOR INFORMATION ~a PEACHED DURNETT AT 1 BOX 120 PONDER,--TX--7695q- NA V DURRUWS, PETS 00010942 10/03/01? 20.20 0. 00 0. 00 20.20 DP ER 1 241 2 wa GUARANTOR INFORMATION PETE DURROWD OX 711 301 LOOP 200 DENTUN, TX 76201--- -ANK V OURTON,KRIOTIN A DOOIL023 10/27/02 30.00 0. OD 0.00 39.00 SP ER 4 211 2 J as GUARANTOR INFORMATION xa ANTIS RUR'[ON POX CIRCLE 040 DENTUN, 7X 76201 - NR i~ 1111311, JSAN A 00011000 10/04/02 19. 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RUTFl3AN 1490 SOMBRE VISTA DENTUN, TX -76201 - NR., aka r OUTLE•R,9011BY J 00011148 12/31/92 70.75 0,00 0.00 70.79 DP ER 4 102 2 ' as GUARANTOR INFORMATION wx DORDY RUTLER 5304 YOUNG DR THE COLONY, -TX. 75006 a + J II► DkDOVARANTORLINFORMATION xx40JOHN3DY0U/07/03 43.00 11WYp1173 RT0.I00KRUM,40 007G2ADD 4q ER 3~ 05 Q UTL l CADENA,ANTHONY A 0001IR62 09/14/138 64.50 0.00 0.00 64.50 DP ER 2 Rb0 2 J a► OUARANTOR INFORMATION xa KATHY CADENA 330 IOOF DENTUN, TX 76201 _KR 1 1. 1" L CALYCRT, THOMAS L 00011437 10/07/02 30. 00 0.00 0.00 30,00 10 ER 1 237 2 x» GUARANTOR INFORMATION x33 CURLEW CALVENT 1516 WAYNE ST DENTUN, TX 76201 NA L CAMPBELL, CHRISTOPH 00011470 09/06/118 40.79 0,00 0.00 40.75 1D ER 1 UTL P60 2 !'1` J ►a GUARANTOR INPORMATION xa CRRISTOPII CANPDELL 797 S OtD ORCHARD 0207D LEWIBVILLE, TX-- 76067- - 14 L CAMPSELL,MYIINA 0 000I1D10 10/121/02 70.75 30.90 0.00 117.69 SP ER 3 J 112 Q as GUARANTOR 1NFURMATtON ra MYRNA CAMPRLII. 5001 HITATHERINOTON THE COLONY, TX 7DOD6 NR L' CAMPDELL,PATRICK 00011536 00/88/02 75.00 0.00 0.00 75.00 SP ER 4 277 E +i J L I OUARANTOR INFORMATION ♦a PATRICK CAMPBELL 3600 DRIEACLIFF ST DENTON, TX •%d201 _:._UTL , r 01 JUN 1903 Wfl 1'1E-OFF RE PUR T PATIENT NAME PAT _ E FO TYPE 7 I71f7CH0 CEO-DAL NGW-CIJG NEW-PAY W-0 DAL FC TYPE CYCLE LBT.PM7 AO ;t. 1 L V CANO, SUDAN M 00011647 09/"9/Ild 49. 50 O, 00 0.00 40. 50 BP CR 4 NR gqq { 2 - tJ rY OUARAN'f0R INFORMATION YY NARCIH041 CANR 1416 SILVERSIDE LOT 21- GRAPEVINE, TX 76080 L CARRELL,ANITA 00011999 OD/24/02 69.00 0100 0.00 68.00 ADD ER 4 11/24/62 • 373 2 YY GUARANTOR INFORMATION Yr LOREN CARRCLL P-0 BOX 618- LITTLE ELM, TX -700b6- --NR~ T..... CARRELL, GOOROIANNM 00012013 10/27/02 113.50 0.00 0.00 113.50 ADD ER 4 ww GUARANTOR INFORMATION Yw JAMES CARRFI.1. th.217 'p 'a rs, 329 COLLEGE ROCKFORD,-1L 61106. NA _ _ . s,,.__ t' CARRCLL, LINDA J 00012021 10100102 Z9.00 0100 0.00 29.00 SP ER I- 1 rw GUARANTOR INFORMATION 234 2 Yw DORDTilY 7AUNTHR 1007 FANNIN .DENTON,-T%---,76801 NR 2 CARTIIR,CA'IIiY L 00012203 00/90102 119, OI 0.00 0, Oq 119.01 ADD IF 4 10/11/82 277 2 'V wY GUARANTOR INFORMATION Yr ALTON CARTER RT '4 IJ8 BURL ST DENTON, TX 76201- NA CART 0,GARRY R OOOIP260 09/19/U? 40.00 0.00 0.00 40.00 ADD ER 3 255 2 f•-V rY GUARANTOR INFORMATION Yw GARRY CARTER 8,97 N CHARLES ST LEWISVILLE, TX -7D067_. _.NR CARTER, KA111iN 000/2310 09/29/02 46.50 0.30 0.00 46. 00 ADD ER 4 24D 2 4 J rw OUARANTOA INFORMATION ww 'AI_DERT CARTER PO BOX .1012 DENTON, TX -76201 - - DUPLICATE-NON DISPERSED' CAS110% SCIIAWN 00019534 I a 41.00 3 199 ? 2y J rr GUARANTOR INFORMATION rrWILLIAMCABHON.00 0.00 nl P ER 2 • 2309 VANDSRD]L7 CRT. DENT ON,- T%- 76201- -ANX CHACOT, MAHIA L 00012690 12118102 42,10 0, 00 01001 42, 3D BP ER 3 i /k v wr GUARANTOR INFORMATION rr DAVID CI{AliO't 160 2 J BOX 173 JUSTIN, TX 76247 NR- y { CHUMDLDY,JERRV L 0001323D tlO/tl1/tl2 100,40 O,bO 0100 100,40 ADD ER 1 08/27/82 304 2 rr GUARANTOR INFORMATION rr CHARLES CHUMOLEY FIT 3 COX 131 SOUR, -TX- 00000- _NA 1. CLARK,WILDVR L. 40007601 02/27/63 92.89 0.03 0100 92,225 ADD ER 3 92 F '2 { 'J rr GUARANTOR INFORMATION *4 WILBUR L. CiLARK 116 It HICKORY DENTON, TX 76201 OTL V CLEARMAN,MICHAEL S 300137212 JO/J6/02 61.00 0.00 0.00 61.00 ADD ER 3 228 2 + ,J rr GUARANTOR INFORMATION YY MICHAEL CLEAIIMAN FIT 1 BOX 36 KRUM, TX - 76249 -UTL CLEMENTB, DAVID W 000137DO 09/01/68 381.00 0.00 0.00 30.00 SP ER J 273 2 + , "f J wr GUARANTOR INFORMATION rr DAVID CLEMENTS RT 7 BOX 890 BUNTON, TX- 76205 NA_ t " CLEMCNTS, WLLDCN L 00013797 I I / 11 /p2 92.70 01 00 0.00 82. 70 DP ER 2 rr GUARANTOR INFORMATION rw WELDON CLCMENT'S 111 RT. 7 COX 990 D ENTOM, 1X ...76201 202 2 1+ COCHRAN,DONNA F 00014092 10/19/02 10.00 0,00 0.00 18.00 DAI SR 3 11/24/82 020 2 l rw GUARANTUR INFORMATION rr FLOYD COCHRAN P O COX 138 KRUM,-TX 76249 NR COCHRAN, LOU I BE 00014134 08/02/02 10,00 0100 0.30 18.00 BAI ER 1 09/27/82 303 2 J rk DUARANTOA INFORMATION wr LOUISB COCHRAN 732 ALEXANDER OENTON,-TX. 76201-- NR_. (1 1:0114, JEIIEMY 000143%) 09/;?0/f1P 79.00 0.00 0.00 79. 8d ID ER 3t 12041 2 (~i •J ` of GUARANTOR INFORMATION wY JAMRU 0 COIN I RT 1 DOX 6572 SANOER, TX 76266- NR COIN,MARTHA 0 00014357 10/01/02 13.00 0.00 0,00 13.00 DAI IP 1 10/18/82 243 2 r11 GUARANTOR INFORMATION Yw JAMER C COIN RT-1-,110X 687-2- SANOER,---TX-.76266'-- NR 0 1 JUN 170 1 , W R I T E- q F F REP U R T . PAGE 9 PATSCNT NAME PAI' IO DIDCHG DEG-DAL NEW-CHO NEW-PAY W-0 BAL FC TYPC CYCLE LBT.PMT AGE FO TYPE COIN, MARTHA d 00014368 10117/U2 30.00 0.00 Ol 00 , wx GUARANTOR INFORMATION wa JAMES C COIN 30.00 BF ER 3 t py AT 1 BOX 6977--Z Z SANGER, 7% 76266 NR COIN, MARTHA 0 DOO14301 11/17/U2 00.00 0, 00 0. 00 90. 50 BF CA 3. 1 ww GUARANTOR INFORMATION rw JAMCUC COIN 194 2 AT 1 Dq% 697-Z GANGER, T% 76266 -NR COLEMAN, ANDREW N 00014999 10/07/02 00. 90 0.00 0.00 136. 50 SP ER 2 :r 239 R GUARANTOR INFORNATION as ANDREW COLFNAN nl, + AT 2 BOX 249A AUDREY, TX 76227 - INR~ COLEMAN, DF.DORAR A 00014571 10/30/82 54.50 0. OD 0.00 54. 90 ADD 5R 4 214 { 2 wr GUARANTUR INFORMATION rw 0178ORAH COLEMAN 1501 W KELLY 036D PHARR,,-TX 70977 ..MLNA COLLINGSWOR'IH, DONNIE 00014670 01/00/02 43.25 si n1. 0.00 0.00 43.25 SP FR 2 266 2 rw GUARANTOR INFORMATION aw DONNIFI COLLINDOWORTH IIDb PEDDLEtlggtlK -LEWISVaVI l.LEl:, TX 79065 NA 10' COLSTON,DRSICE R 00014746 11/03/02 32.77 0.00 4.00 32.77 DAI IP 1 11/29/82 210 2 I~~ u wr GUARANTOR INFORMATION ww HOLMAN COLSTON 2212 FT WORTH DR 0117 DFNTON,.TX 76201MR L' CONAWAY,TAMI J 000141129 14/31/02 66.05 0.00 0.00 66.89 BP CA 4 192 2 ! ,J as GUARANTOR INFORMATION xw TAMI CONAWAY AT. 4 BOX 49 EXECUTIVE DENTON, TX 761201 MR _ CONTRCRAS,ELI ZAOETH 00014902 07/14/02 41.50 0.00 0, d0 41.50 SP ER 2 260 2 ww GUARANTOR INFORMATION rw DELOIIES CONTR8RAO 910 0 LOCUST 040 DENTON, TX 76201 ----.NR CORNCLL,BHCRRY 0 00019190 l0/La/82 UO.00 0.00 -10.00 70.00 DP ER O OU/16/83 109 2 tJ wr GUARANTOR INFORMATION rw KENNETII W CORNELL AT 1 BOX 220E SANGER, TX -76266- MR L COTTON, KATHEY A 00019207 JO/0J/02 26.00 0100 0.00 26.00 DAI ER 1 11/12/02 241 2 u ~+a wa GUARANTOR INFORMATION xw allBAN COTTON AT 2 BOX L3 ROWE DENTON, TX 76901 MR COUCH, RgDERT 00019321 11 /30/02 40.00 0.00 0, d0 40,00 ID ER 4 ww QUARANTOI1 INFORMATION aw RUDERT COUCH 3627 LINDA DALLAO, TX 75221 1 MR 103 2 ~a V r COX,FRCOA A 00019924 07/31/02 20.40 a. DO 0,00 20.40 bAl IP 4 11/18/82 309 2 ij wr GUARANTOR INFORMATION rw STEVCN G COX L20D AUTUMN OAK- DENTON, TX- 76201.-.---._--NR 7-47,71 COX, JL+Fr D 00015,370 04/13/02 56.00 0.00 0.00 06.00 OP ER D 414 ' 2 `+I f J as GUARANTOR INFORMATION ww GARY COX Ala DWIGHT I.CWISVILLF, TX 78067 -;._.MR .yl}JVzLL!!! COYLC,RAYMOND 1101115636 11/25/02 74.79 0.00 0.00 74,79 SP ER 4 180 it :J ww GUARANTOR INrORMA71ON as RAYMOND STORY 012 CARDINAL APT Dil. DENTONr TX -76201- NR- f . CREAOY,DAVID MARK 00019917 00/21/(12 60.50 0.00 0.00 60.90 ID ER 3 204 2 y. wr GUARANTOR INFORMATION rw DAVID MARK CRCABY B21 WINDSOR DR APT 39 DENTON, TX- 76201 MR CRUDO, JIMMY W 00016137 10/19/02 04. DO 0.00 0. 00 84. DO ID ER 2 232 2 v wr GUARANTOR INFORMATION rw JIMMY CROSS 608 BRADSHAW DENTON, TX- 76201 NR V CR030,MARY F, OdOlGlbt? Si?/f?4/112 30.00 0.00 0,00 38.00 0p ER 4 119 Q 1 L ww dUARANTOR INFORMATION ww MARY CR11UU AT. 2 BOX 1174 DENTON, TX 76201 MR. 4w CR088,THOMAU L 00016204 11!/14/02 6'7.90 0.00 0.00 67.90 8P Op 3 169 2 v wa GUARANTOR INFORMATION ww CIIARLCU CROOK RT 2 BOX 8 CCLINA,-TX .75009 NR - loo 440 i ,1 j h 01 JUN 19113 W R J' T E- O F F R E P O R T PAOE l0 PATIENT NAME PAT 111 D113CHO DEG-DAL NEW-CHO NEW-PAY W-0 DAL FC TYPE CYCLE LST,PMT AGE. FO TYPE lr CROWDER, MAII611A J 00016 46 10/04/01! B5.60 O, OO 0100 OD, 60 BP ER 1' 240 2 NM GUARANTOR INFORMATION NN MAROPA CHOWDER P 0 BOX 714 LAKE DALLAO,- TX 79060 -°NR CUDD,CHRYUTAL J 00016337 11/0'1/02 00.90 0.00 0.00 50.90 SP ER 2. 204 a ww GUARANTOR INFORMATION xw CRAIG D bUDU 1903 SHAWNEE DENTON, TX 76201--- NR - - - - - - L CULLBY,DRLNT W 000I6360 10/06/02 09.49 0.00 0.00 B9.45 SP ER 1 230 ' 2 NN OUARANTOR INFORMATION xN JOE CLARK 004 NEPTUNE DENTON,- TX- 76201 •NR " 1 CYR,RONALD R 00016642 013/16/02 104. 70 0.00 0.00 104.70 ADD ER 3 289 2 J ww UARANTOR INFORMATION wx RONALD CYR CLAYTON HOUSE ROOM 206- DENTON,-TX 76201 MLNA- -r rT L' DAKAN, CINDY M 00016603 09/08/62 30,00 0.00 0.00 09.00 SP ER, 2 266 2 - xx GUARANTOR INFORMATION ~x CINDY UAKAN PC COX 2023 DENTON• TX -76201 --NR s, l' DALTON, ANDREA L 00016725 11 /03/02 43. 75 0,00 0.00 43, 75 SP ER 1 910 2 wx GUARANTOR INFORMATION xN DONNA DALTON P 0`BOX 244 LITTLE ELM,-TX- 70066-- i' DALTON, ANDRCA L 00016733 12/06/82 70.50 0.00 0.00 70.00 OP ER 1 177 2. Nw GUARANTOR INFORMATION wN DONNA CALTON P 0 DOW 244 LITTLE -ELM, - TX 70069 - .__-.-NR DALTON,DETTY J 00016/90 12/18/92 71,50 0, 00 0.00 71. 00 SP ER 3 16D 2 GUARANTOR INFORMA7[tlN xw JIMMY DALTUN - 820 ROSE ST DENTON# TX--76201--. NR V DAL TON, MAR ION D 00016702 00/07/82 29.50 0,00 0.00 29.60 SP CR; 1 OD/l0/82 290 i; 2 J 1 J wx GUARANTOR INFORMATION xw MARION DALTON AT 4 LOT 36 AMP CORINTHr--TX . 76abf`- -=NR • ~1'^ ° Y"-~ ° , L DANDRIDGC,JCANIC 00016907 10106182 38,00 0.00 0.00 38.00 OF ER 1 230 2 V xw OUARANTOR INFORMATION xw HOY PAINTER 370 W MAIN141 -LEWISVILLE,-.-TX--73067---* » - Na, V DAN1848,ROBERT Y 00016990 09/12/02 96,00 0.00 0.00 96,00 ADD ER 2 1262 2 , xx GUARANTOR INFORMATION xw ROBERT DANq-L8 924 FANNIN DENTON,- TX_ 76&101 - - ANK` -~i-+ DAVI8,DONNA M 00017076 Il/14/0P 39.40 O wx GUARANTOR INFORMATION wN 8111ALCY M DAVID 62 00 0,00 39.40 8P ER 2 199 2 ,1 ^0 FT WORTH LOT -as^9..-DENT9Nr- TX ..76201----NR- V DAVID,HERBCRT E 00017412 16/10/82 94.00 0.00 0.00 94,00 BP CA 3 226 2 Nw GUARANTOR INFORMATION xN RUBY DAVIS 211 SMITH SANOOR, TX 76266 NR 017756 01/ 0 0.00 DAYsVAZC GUARANTOR INFORMATION *wDORODNEY DAY00/03 30.00 IODOMANOR DANGER, TXp 7G266p- ER.......1147 1 R 4 DCABON, CLARA A 00017040 10/ I R/02 79.00 0.00 0. UO 79.00 ADD ER 2 232 2 IJ ww OUARANTOR INFORMATION xw CLARA DEAOUN 9XECUTIVE MHP 079- LAKE DALLAS, TX- 70069 UTL - - D9BU9N,REOECCA 00017921 11/17/02 39.00 0,00 0.00 39.00 SP OP 3 196 2 ww GUARANTOR INFORMATION xw MARSHALLL DEDUOK 904 W PRAIRIE DENTON# TX 7b201•---•- ~1 r ,15•-• ar V RFI,GADO CRYSTAL 00010044 12/213 /6&1 45.60 0,00 0.00 40.60 SP ER 4 190 2 00 OUAUANTOR INFORMATION wN YI''NUN OL•1.OADO 412 W OAK DECATUR, 7k 76234 - NR T ~e1 ` DCWEY,LANCC 00010:741 10/17/02 30,00 0,00 O,OD 30.00 SP ER 3 227 2 J ' xw GUARANTOR INFORMATION Nw LDWARD DEWEY AT 0 COX 140 OAINEOVILLE,. TX, 76240 NR - - - iY V - 4 , ' I I 01 JUN 1783 W N 1'T E- U F F R C P U R T PAQB 7` PATIENT NAME PAI 11) UIOCHO BEG-DAL NEW-019 NEW-PAY W-0 DAL FC TYPE CYCLE LUT.PMT AGE FO TYPE ~ ter. UUCKITANAN, IIRYON C 00010447 07/00/BR 70.20 0.00 0. 00 70.25 ID ER 2 266 11 wx (4UARANI{)R INFORMATION x4 )IOY 110CIU1ANAN 1215 MORSE DENTON, TX 76POI .NR UUCKLL'Y,VICKIfl J 00010494 IO/!O/U2 91. al 0.00 0.00 91.01 DAI IP 3 01/13/83 226 2 .y xx QUARANIOR INFORMATION wx GREGORY D DUCKI.HY P 0-BOX 542 LAKE DALLAS, TX -78067--- ------MR . OURDLLL, EMMALEE 00010611 10/01/02 1'9. 00 0.00 0.00 15.00 Bp ER 1 0/01/02 243 2 wx OUARANTOR INFORMATION xw CMMAL.Fh' UUNDELL RT. I DOX ~14 SUNSET, TX 77777 ~NK :..._...._iw. ' ' UURQER, JERRY JL 00010670 10/12/82 05.00 0, 00 O. 00 59.00 Bp OP 3 232 2 I ww QUARANTOR INFORMATION wx JEIIRY DURGER 149 DELLAIRE DENTON, TX', 76201---- - ANK _ DUROUON, DIEN A 00010710 J2/12/BB 65.00 0.00 -4Z,40 13.10 BP UP a V/ lQ/BB 111 2 xx OUARANTOR INFORMATION wa MILDRED DUNQUON AT 2 BOX 140 BANGER, TX 76266 - DUNK)IART, ORANDI R 00010701 O1/07/D3 53. 45 O, 00 O, O0 93: 45 BP ER 1 145 2 xw GUARANTOR INFORMATION ww. SHERNA OUIIKHANT 0348 KEALY LEWIBV1LLEr--TX-' 75067'-- ---NR 1 I. ' tit Yh ~ ~ V RURNETT,PEACHEB J 000100D1 10/OP/02 90.35 0.00 0,00 90.35 Bp ER.~ 1. 242 2' ww GUARANTOR INFORMATION xx PEACHES DUNNETT AT I DOX 120 PONDERi TX--76259 - NR 1 1 DURRUWB, PETE 00010942 10/07/62. 20.20 0. 00 0,00 20. 130 SP ER 1 241 2 wx GUARANTOR INFORMATION wx PETE DURRDWS OX 711 301 LOOP 20B DENTON, TX -76201----+~1% OURTUN,KRISTIN A 0001102310/27/82 30.00 0, OO 0.00 38.00 BP ERt 4 r 217 1 2' Ufa ` '.:J xx OUARANTOR INFORMATION xw ANTIS DURTON FOX CIRCLE 040 DENTON,.76201•-- DUMI, JEAN R 00011000 10/04/82 19, 51 0.00 0.00 19. 81. DAI Ip 1 12/27/82 740 2 xr OUARANTOR INFORMATION wN JIM RUSH 1316 STUART RD DENTON, TX 76201 . -NR 1 1 DU711MAN,DAN1EiL O 00011130 10/04/82 04.00 0100 0.00 84.00 SP ER 1 240 2 kJ xw GUARANTOR INFORMATION wx DANIEL. BUTYAN 1420 SDMRRE VISTA --DENTON,-TX- -76.201 - - NR......_. W tea' OUTLSR,DDDDY J ODOIIJ40 12/31/02 70.70 0.00 0,00 70,70 BP ER 4 152 2 >J xa QUARANTOR INFORMATION wa DOODY BUTLER 5304 YOUNG DR THE COLONY, -TX. 79056 -..-.-.HR l► OYRD, C1tRISTY L, 40007730 03/07/03 48.00 0100 O.00 49,00 ADD ER 3 y 05 2 J xx GUARANTOR INFORMATION xw JOHN DYRD HWY 1173 AT ! KRl1M, iX- 7624q _._UTL . L CADENA,ANTHONY A 00011262 07/14/82 64.50 0.00 0.00 .64.50 SP ER 2 260 2 L wx QUARANTOR INFORMATION pk KATHY CADENA 330 IOOF DENTON, TX 76201 MR.. f, `.,.1111 CALVERT, THOMAS L 00011457 10/07/02 3B,00 0.00 0.00 313.00 ID ER 1 237 2 (tl xx QUARANTOR INFORMATION 4x CURLEW CALVERT 1016 WAYNE BT DENTON, TX 76201 MR L' CAMPBELL, CHRISTOPH 00011479 07/06/01 40.75 0. 00 0,00 40.75 ID CA 1 UTL 260 2 00 OUARAN7UR INFORMATION xx CItnl8TOPIf CAMPOHLL 797 8 OCD ORCHARD #2075 LEWISVILLE, TX-- 78067 CAMPOrCL,MYRNA G 00011510 10/21/82 78,75 38.90 0.00 117.60 RP ER 3 12 2 w VUAftANTOR INFORMATION x0 MYRNA CAMPOLLL 5001 HFAT11DRINGTON THE COLONY, TX 7DO56 NR r CAMPIICLL,PATRICK 00011536 00/28/U2 70.00 0.00 0.00 70.00 Bp 8R 4 277 2 xx QUARANTOR INFORMATION x■ PATRICK CAMPBELL 3600:DRIERCLIFF ST -DF.NTON, TX -76201 UTL _ ~Ilr 1 4,11 „♦~TAy: { 04 JUN 1903 wit 1'T E - 0 F f REP 0 R 7 • pA08 S ~j' PAi16N1 NAME IrA'f ID RIHCHO UEO-UAL NEW-C110 NEW-PAY W-0 PAL FC TYPE CYCLE LDT.PMT ACV FO TYPE 1 L' CANII, RUBAN M 00011043 09/,!0/02 40. 50 0. 00 0.00 44. 50 BP ER 4 w+ OUARANTOH INFORMATION xw NARCIRf)0 CANO 1416 BILVEASIDF LOT 21 ORAPEVfNE,- TX •76050 249 ! R. L CA1411E?LL, ANITA 00011999 09/24/02 60 00 0.00 0.00 65. 00 ADD ER 4 11/24/02 373 2 wk OUARANTOR INFORMATION xw LONEN CARItGLL P 0 13OX 61B LITTLE ELM,-TX--75068- -----NR____.,... L CANrILLI.,0001101ANNM 00012013 10/27/62 113.00 0.00 0.00 113.50 ADD ER 4 217 2 ) u xw GUARANTOR INFORMATION ww JAMBS CAR101A. 09D COLLEGE. ROCKFORO, IL- 61105 - - NA s . 'iit ' L• CARRELL, LINDA J 00012021 10/09/02 29.00 0.00 0.00 29.00 SP ER t- 239 2 ~J ww GUARANTOR INFORMATION ww DOROTHY 11UNTRR 1007 FANNIN ,DENTONr--TX -,76201 MR 1, CARTER, CATHY L 00012203 09120192 119.01 0.00 01 Qo 111.01 ADD IP 4 10/11/82 M 277 2 R ^ ww GUARANTOR INFORMATION xw ALTON CARTER AT 4 119 BURL ST DENTON, TX - 76201-- -IIR - S~ CARTCA, 0A(IRY A 00012260 07/ 19/0? 40. 00 0.00 0.00 40. 00 ADD ER 3 255. 2 ww GUARANTOR INFORMATION xx GARRY CARTER 527 N CHARLES ST LEWISVILLE, - TX • 73067y-- NR V CARTER, KA(IEN 00012010 09/29/82 46.50 0.00 0.00 46. 50 ADD ER 4 -248 ` 12 G xx GUARANTOR INFORMATION xw 'ALBERT CARTER PO BOX 1012 DENTON) TX-76201• - -DUPLICATE-MON 01SPERSED CASIION,SCHAWN ODDIPD34 11/14/02 41.00 0100 0.00 41.00 DP ER 2 199 2 b/ I t~ 165 2 ^Y 4,yA. 42.05 8PTX EA p1 X 4 CHABOUARARIARL1NFtlRMATION xx000AVIDOC12/10/Ba 42.35 BUff01073 NDJU0.0IN, 0 C 7% 76247- NR CHUMdLCY,JERRY L 00013235 00/01/62 100,40 0100 0.00 100.40 ADD ER 1 00/27/02 304 2 xx GUARANTOR INFORMATION **..CHARLES CHUMBLEY AT 3 BOX 01- SOUR,-.TX-.-00000 _ IIR V CLARK, WILDUR L. 40007601 02/27/03 92.25 0.00 0100 92, 25 ADD ER 3 , 92 2 . k! GUARANTOR INFORMATION xw WILBUR L. V41-ARK - II6s E HICKORY DCNTON, -TX- 76201 U-.._UTL V CLEARMAN,MICHAEL r 00013720 10/16/02 61.00 0.00 0.00 61.00 ADD ER 3 228 2 xx GUARANTOR INFORMATION kk MICHAEL CLCARMAN AT 1 BOX 36 KRUM, -TX .--76249 UTL CLEMENTS,DAVID W 00013750 09/01/02 35.00 0100 0.00 38,00 0P ER 1 273 2 r ~~;d .J ww GUARANTOR INFORMATION xx DAVID CLEMENTS AT 7 BOX 590 DSNTON,-•TX--76201 -NR , l ' CLCML•NTO,WELDtlN L 00013797 11113/02 52.75 0.00 .0.00 52, 70 DP CR 2 202 2 f kw GUARANTOR INFORMATION wx WELDON CLCMBNTB _-AT,-7-BOX 090- OUNTON,.TX. 76201- NR .I;rEt ; V COCIIAAN,DONNA F 00014092 10/19/92 16,00 0.00 0.00 18.00 DAI BR 3 11/24/02 2H5 2 J I* GUARANTOR INFORMATION xw FLOYD COCHRAN -P 0 BOX 135 -KRUMi -TX - 76249 - MR - - i L COCHRAN,LO111BE 00014134 DB/02/Bu 10.00 O.OO 0.00 18.00 BA1 ER 1 09/27/82 303 2 wk GUARANTOR INFORMATION wk 601,118C COCHRAN _.._.732 ALEXANDER DENTON,-TX- 76201 NR W V CHIN, JEREMY 00014132 09/20/02 79.00 0.00 0.00 79. 50' 10 ER 3 L94 2 k♦ GUARANTOR INFORMATION wx JAHIIS C COIN AT 1 BOX 6572 SANOE T 76 66 / Rr X R NR COIN,MART11A 0 00014357 10/01/82 13.00 0.00 0100 1^.00 DAI 1P 1 10/19/82 243 2 I xx GUARANTOR INPORMATION xk JAMEO C COIN AT 657-2 -SANQBR,-•.TX 76266 r.__..MR ~»j Ir r . PAGE 9 i WR T"fE -OFF REr~ ON T ` 01 JUN 190:1 AGE FO TYPE v t~ PA71ENt NAME PA't ID DIUCIIp BEn-DAL NEW°CHR NEW-PAY W-❑ BAI. FC TYPE CYCLE L81.PHT l;_ t a. an 0. ab 38. 00 or, CR 3 227 00014069 to/1YJ92 39.00 --NR 1r COSN,MARtI(A U RT I Box 697-X 8ANO R, TX 76,266-- rr GUARANTOR INFORMATION rr .IAMBS C COIN 1/19/B2 00.30 0,00 0.00 50.50 SP ER 3 - I94 2 oOO141UI 1 NR r - CdIN,MART}IA 0 RT 1 DOX 657-1 SANGER, TX 76266 rr GUARANTOR 1NFOItMATIDN rr JAMUB C COIN 235 Q Y ^ ,i✓ 0, 00 86.50 BP ER 2 L COLCMAN,ANDREW N 00014955 ln/09/9P. 00, DO R~'2080% 245A AUBREV, T% 76827 RA _ ■r GUARANTOR INFORMATION rr ANDREW COLEMAIJ^ ER 4 214 Q 59, 90 10.001 0, 00 54. 90 ADO MLNA 1. COLEMAN,DEBORAH A bU0lA571 101301132 1001 W KELLY N365 PHARR, TX -75577 -r-- e rr GUARANTOR INFORMATION rw DEBORAH COLEMAN 266 2 i1 43.25 0.00 0.00 43,25 BP R I rJ V GoLLINOOWORTH,OgNNIE 00014670 05/OD/tl2 1156 PEDDLEDROtlK LEWI8VILLE, TX 75065 OR ww .011ARANTOR INFORMATION rr DONNIE COLLINOBWORTH ~ ..t.. `~r , COL670N,DIlUC6 R 00014746 1k/D318-1 32.77 2712bPT WOROiHODR N117~-O6NYONI..T%Ip7680k...Rp 11/79/62 210 rr DUARANTOR INFORMATION rr IIOLMAN CULBTUN 102 Q tl, 00 0,00 66. 85 BP ER 4 00014829 12/'31/62 b6. 65 RT. 4 DtlX 40 EkECUTIVFi-. ptlNTON, -TX-' 76201 MR C ,TAMI J J 4 1 4 *0 OUA Q GUARANTOR INFORMATION rr 7AMi gONAWAY 4 266 . UO d. d0 41. 50 BP ER y 1_ r G 00014902 09/14/09' 41,50 d j V CONTRERA8,p•1.12A0ETH 9t0 B LOCUST p40 DENTON, TX--76201 OR wa GUARANTOR INFORMATION ww DELOREB CONTRERAB 70.00 SP ER 3 02/lb/S3 105 e' 3 __.....i.. 00015190 10/10/02 80.00 0,00 -10.00 CDRNELL,SHERRY D RT L BOX 220C $ANOER,-•T% •76266 NR s $241 2 r~ GUARANTOR INFORMATION rr KENNETII W CORNfiiL ~r C07tUN,KATl1EY A 00015499 l0/03/02 86.00 4. 00 0,00 26.04 BAI ER ~l It/l4/UQ w♦ GUARANTOR INFORMATION ww SURAN COTTON R7 R DO% 13 ROWE -0ENTON, T%. 76201 Q COUC wf{3' 40030021 11!30/82 40.00 0.00 0. 00 40. 00 14 0 ER 4183 V H,RODEAT 062'1 LINDA DALLA6,-TX_-7582k - MR j ww GUARANTOR INFORMATION wr ADD94T COU H 8/82 305 4 J V CD%, FRBDA A tlOdlD5a9 07/01!64 20.40 d. bD 0. Up 40. 40 DA1 iP A 1111 - 76401 MR d5AUTUMN OAK DENTON.- T% w♦ GUARANTOR INFORMATION rr STEVEN L COX, 14 414 2 56,00 0.00 0. 00 56, 00 8P ER d 00019976 04/13/94 416 DWIGHT LGWIBVILLE, TX 79067 - - OR 1r COX, JEFF n 16n 4w GUARANTOR INFORMATION rN QARY COX 00015606 !1/29/94 74.75 0.00 0100 74. 75 SP ER 4 r r - 1 V COYLE,RAYMUND .._.014 CARDINAL APT Dll DGNTON, 1X, 76901-. NR ~lJ rw OUARANTtlA INFORMATION ww RAYMOND STORY 464 2 „ b0, 50 IU ER 3 oooID917 00/21/02 60, 50 0, 00 0.00 CREABY,DAVtO MARK wr DAVID MARK CREADY 541 WIND90A DR APT-39- DENTON, T% 76201 RR - rw GUARANTOR INFORMATION 492 Q zY , 00416139 10/18/04 04.50 0.00 0100 (34. 00 ID ER 2 MR V CROSSARANTOR INFORMATION ww JIMMY CRO68 608 DRAgBNAW- OflNTON, T%- 16201 „ 00016162 12/24/OL' 30.00 0,00 0. DO 3B. 00 SP DR 4 159 a^ W MR V CRt1~3R, MARY F RT. 2 DD% 1174 OENTpN, T% 76701 - ~ i ' rr OUARANTIIR INFORMATION rw MARY CRDOf1 ) CRORB, 7HOMr1tl L 00016204 12/14/02 67. 50 R0. QO 0, Ob b7.80 BP tlP 3 169 4 BOX 8 CELINA, .TX _75009 - MR " F•. n rr PUARANTOR INFORMATION rr CHARLES Cnoun ^ ' ,,.r ri :.p i Siyl ,,,4 {~iur~•yrc,1,.5T'r r k~ f 0 1 JUN 1X711;1 W R I IT t n r F R -E P D Il T PAGE 10'~, 1i+ PATIrtir NAME I'At ID U10CI10 OF-RAL NCW-CtiO NEW-PAY W-0 DAL PC TYPE CYCLE LOT, PMT AGE FD TYPE PE r CRON!)ER,AIAIIBHA J 000I6246 Lq/OA/B:! 89. 60 0.00 0. UO 89.60 BP ER 1 240 2 ~ rx OVARANTOR INFORMATION rx MARSHA CROWDER P 0 BOX 714 LAKE DALLAB, IX 70066 - NR - - - i CI130, CHIIYtlTAL J 000I6337 11/09/82 80. 99 0.00 0.00 50.00 SP ER P. 204 2 r+ DUARANTOR INFORMATION r+ CRA10 D bUDD 1903 SHAWNEE DENTON, -TX - 76201 NR - - * ~ L CUL.EY, BRfCNT W 0A016360 10/06/82 09. 49 0.00 0.00 89.40 SP ER 1 239 2 wx RUARANTOR INPORMATION rr ODE CLARK 904 NEPTUNE DENTON, TX 76201 HR ~ ri CYR, RONALD R 0001664 00/16/82 104.75 O. UO 0. 00 104. 79 ADD FR a 209 2 L~ wr GUARANTOR INFORMATION xw RONALD CYR CLAYTON HOUSE ROOM-206--DENTON, TX 76201---MLNA - - DAKAN, CTNUY M 00016683 09/DB/1)1 30.00 0. DO 0.00 38. 00 BP ER 2 266 2 / wr GUARANTOR INFORMATION +w CINDY DAKAN PO BOX 2843 DENTON, TX 76301 NR - - DALION, ANDREA L 00016 t7b 11/03/09 43. 79 0. (r0 0.00 43,70 BP ER 1 210 2 ~LJ wr GUARANTOR INFORMATION xr, DONNA DALTDN P 0 HOX 344 LITTLE ELM, TX 7806()--- J,. V DALTDN, ANDREA L 00016733 12106/82 70. DO 0.00 0100 70. 90 SP ER 1 177 2 wr GUARANTOR INFORMATION rr DONNA DALTDN P 0 tIOX 244 1.1TTLP ELM,- TX - 70068- --ryp !I ` kw DALTDN, DEITY J 00016788 12/18/02 71. DO 0,00 0.00 71. 60 81° ER a 16D 2 'J wr GUARANTOR INFORMATION r+ JIMMY DALTDN 820 ROBE. ST DENTON,.TX---76201 - ----Np - 4 DALTDN,MA1110N D 00016702 00/07/82 25.00 0.00 0.00 29. SO SP ER 1: 00/10/02 298 ` 2 {y J +r QUAAANTOR INFORMATION +w MARION DALTDN AT 4 LOT 36 AMP CORINTH, TX 76001 - - NA DANDRIDGE, JEANIE 00016007 10/06/02 30,00 0.00 0.00 38, 00 SP ER 1 230 2 J rw GUARANTOR INFORMATION rr ROY PAINTER 370 W MAIN 441. LEWISVILLE,-T%---79067 1n DANIELB, RODEAT Y 00016990 1!9/10"/02 96.00 0. DU 0.00 96.90 ADD ER 2 262 , Q rr GUARANTOR INFORMATION rr RODERT D(N1xl.S 924 FANNIN t5NION, TX 76201 ANK'< G , 4 DAVla, DONNA M 00017376 11/ t4/0t? 39.40 0.00 0. DO 39.40 SP ER 2 199 2 ww GUARANIOR INFORMATION ww SIIIRLEY M CAVI8 62D FT WORTH LOT 99- DENTON, TX - 76201 RR - ~w DAVIE),HERBERT E 000174AD 1611042 400 0.00 0.00 94.00 SP EA 3 1226 Q a ~ J wr GUARANTOR INFORMATION xx RUBY DAVIS 211 SMITH BANGER, TX 76266 MR V.' DAY, ERIC 00017196 01l08/133 38. 00 0.00 0, DO 38.00 9P ER 1 147 2 ~ +x GUARANTOR INFORMATION rr RODNEY DAY 109 MANOR OANGDn, TX 76266 UTL 1 - 117 OEABON, CLAnA A 00017040 10/12/UP 79.00 0.00 0.00 79.00 ADD ER 2 232 2 J rr GUARANTOR INFORMATION xr CLARA DGAOON EXECUTIVE MHP 479 LAKE DALLAS, TX 70069 UTL- DEHUSK, nEOCCCA 00017921 11/11/13* 39.00 0.00 0.00 35.00 SP OP 3 196 2 ww GUARANTOR INFORMATION 00 MARSHALLL DEnUJK 924 W PRAIRIE DENTON, TX 76201- MR - 1 V D1:L OADU, CRYOTAL 00010044 12/420/012 40.60 0.00 0.00 0,60 SP ER 4 108 Q +r GUARANtUR INFORMATION 7t NON DELOADO 412 W OAK DECATUR, TX 70;.114 Np V DEWEY, LANCE 000/0341 10/17/82 30,00 0.00 0.00 30.00 SP ER 3 227 2 ?'„p wr OUARANTOR INFORMATION rw EDWARD DEWEY AT 0 SOX 140 GAINESVILLO, TX. 76240 - MR V ' ;~c r 01 JUN 19113 - R C p O R T fAOE 11 PATIENT NAME. PAT 10 019CHO DEG-DAL NEW-CHO NEW-PAY W-O DAL PC TYPE CYCLE LUT.PMT AGE PQ TYPE , OODSON, SUSAN OODIDb63 J2/16182 150. DO 0. DU 0.00 09.00 Bp CP 3 xw GUARANTOR INFORMATION xa RODOY DOOSIIN 167 Q r t AT. 2 BOX 140 DECATUR, TX 76234 OR DOOLEY, DENA L 000JO762 10/04/82 67.00 0. UO 0. 00 - 67.00 ADD ER 1 xa GUARANTOR INPORMATION Mr GEONOE DOOLEY DOX 2H MAYH ILL RD •-DENTON,-•TX°,76201 • -I - UIL - 740 + aJ DRAPER, REIIECCA H 00011021, 11/ 17/81? 97 60 O. 00 0, 00 97.60 SP OP It r► OUARANTUR INFORMATION xr JACK URAPPR L.EWIBVILLE 1111P N20 LEWISVILLE, TX 7DOb7 OR DUDEY, TONYA 00019O7D 09/0084 39. 4D 0100 0.00 39,40 SP ER 1 I ar GUARANTOR INFORMATION ww BRUCE DUDOY 927 AMAGELLAN CIRCLE- DALLAS,- TX- 79210 ----NR 270 2 v DUDLEY* LINDA K 00019091 U9/13/H2 18,70 0.00 RUARANTOR INFORMATION aw rx 0100 10,70 sp ROfl[fl DUDLEY 1701 PALL MEADOW N3DENTON 7k 76201 OR UUNIOAN,MARY K 0001926D 013/19/0* 14.00 fl. 00 0.00 14,00 ADD EER 23 009/ 3/882 22 1 2 rr GUARANTOR INFORMATION xr MARY DUNIOAN 391 1 L CAMELOT - UEN7ON, 7X 76201 86 7 v ' _ OR ~ EDRON,MICIIAEL 'i O0p190b1 00/10/8R 01.75 O.OD 0, 00 St. 79 ID CA 2 298 2, rr OUARANTOR INFORMATION xw MICHAEL EDRON 605 1/2 SMITH STREET-DENTON, TX 767201- --•NR CDRCN, VINCENT A 40003634 U?_/13/8:3 38. 00 0.00 0,00 38, 00 Sp ER 3 109 - 2 l,J ra GUARANTOR INFORMATION ar VINCENT A EDRON 609 SMITH ST DENTON,,TX. 76201-__.. NR EOOLGBTON,Jf1RRV L 00020016 12112/02 30.00 0,00 0.00 30.00 SP ER 2 ; 171 " 11 as GUARANTOR INFORMATION ra JERRY EOGLCDTpN 8201 N ELM DENTON, TX 76201 _.._NR. ELAM,MIMI 00020115 12/00/02 wr GUARANTOR INFORMATION wr MIMI CLAM 44,00 0.00 O.UO 44,00 AL ER 2 7b R t/ 3112 BHERWOOD NA WICHITA FALLS, TX 76308-NR__ , } l ~ EMORY+ADAIIAM 00020396 04/10/82 76,75 0,00 0, pU 76.75 ID ER R 264 SI xr GUARANTOR INFORMATION wr COLLIE EMOf;Y 942 SCOTT OENTON, TX -76201 - OR 1 V CRD,ROD IN 00020594 11/14/02 65.10 O,OO '0,00 6D,10 SP CA 2 xa 199 2 GUARANTOR INFORMATION xx RODIN CIfD PO BOX 704 RpANRKS, Tk 76262 __.__..OR M $6r ESTES, ANDREW E 00020842 12/ 14/02 74.70 0, 00 0.00 74.70 BP ER 2 169 2.,__,:... r► GUARANTOR INFORMATION aw ANDREW ESTES 1403 OAKWOOD DENTON, TX 76201 OR 4 EVAN5, FRANK IF.' 000. 1014 09/26/02 72.50 0.00 0.00 72.50 SP ER 4 245 2 J 4J rr OVARANIOR INFORMATION as FRAIJKIC EVANS 2004 W UNIVERSITY DENTON, TX 715201 NR 11 EVANS,KAIRINA L 00tl2102P lO/20/02 19.39 0.00 0100 19.39 OAI ER 3 12/14/0' rx OUARANTOR INFORMATION xr NAY DENNVT 4D3 WORCESTER WAY RICHARDSON, TX - 700$0 MR 2R4 2 ✓ Lr EVANS, TAMMY 1. 00021071 11/16/0;2 30, 00 , 0.00 0100 30..00 SP ER 3 rr OVARANTOR INFORMATION aw DILL LEE 30112 MAN TRL DENTON, TX 76201 NR 197 2 :i FEDORA, JOANNE 000216D3 II/D7/8R 00.79 0.00 0,00 00.75 SP RR 1 01/27/83 206 2 ar GUARANTOR INFORMATION rr JOHN FEDORA AT I Box 144 PONDER, TX 76259 -ARK V FCRCDE,TADDC0C OD02175U 05/00/02 61.20 0.00 0,00 6f, 20 ADD OP 3 01/03/03 309 2 ax OUARANTfIR 1NFORMATICN ar TADDCSE FEREDC 2420 LOUISE 02 DENTON, TX 76201-_. ~ M6NA r ~ k L- 01 JUN 190:1 W R I' 'f E 0 F f R E P p ft T - PACE 12 I PATIBN'I NAME: PAT 31) D10010 11LO-13AL NEW-CI10 NEW-PAY W•0 DAL FC TYPE CYCLE LST.PMT AGE FO TYPE 1 1', ~ FITIOERALD,OHAWN OUO,?r 149 11/lp/dr^. 30, 2D O.OU 0.00 30, 25 ADD ER 'J lqg ? ) ~ ` v NN GUARANTOR INFORMATION ww 87VC NOWT: J$01 MEADOW LOT 19- DENTONr TX -76201 --OTC - -u- FORAY,DRUCE J 00022467 11/21/02 97.00 0.00 0.00 97.00 ID ER 3 192 2 GUARANTOR INFORMATION JAVIER FORAY 4;?34 0 FN*NDINFORMATIpN ww00 DAVID FRANKLIN 44' 90 O 9CHOpME GUARANTOR 12.o0'00QA$N44,50 SP TX TE 7624tl 32'- NR 157 1 R FREEMAN,FREDERICK OOD23Pg3 12/30/U2 43.00 O,dO 0.00 40.00 9P ER 4 103 2 / I I NN GUARANIOA INFORMATION *w FREDERICK FREEMAN DUX 277 LAKE DALLAST, -TX --73068- - - -NR FREEMAN,HELENC M 000P3091 09/E0/82 06.00 0.00 0.00 06.00 SP ER 3 204 2 A. NN GUARANTOR INFORMATION wN HELENE FREEMAN 2104 OAK PARK DR 0169 LEWISVILLE,-TX --7000K - - - {+i FRE15MAN,JODY D 000=09 09/89loop 56.90 0.00 -10.00 46, 50 DAl IP 4 03/29/93 69 2 NN GUARANTOR INFORMATION NN IACK:E FREEMAN BOX 205 ALVORD, TX---76225_ .-.---_NR__..__,_,.-, ~ tti FULLER,RCOER N OOOP.370D 03/26/UI 22.00 0.00 0.00 22.00 MCS ER 4 04/11]/93 797 S 2 ' 1J NN GUARANTOR INFORMATION N* LINDA FULLER PO BOX 611 05NTONo TX 76201 -NR 4 s1 • OARCIA,CAROLVN A 00024093 11121102 1,129.30 0. 00 -L 074. 20 05.10 9P IP 3 0.?/21/83 900 2I'~,✓ NN GUARANTOR INFORMATION NN RICHARD GARCIA 2435 W OAK 030 DENTON,.TX 76201 NR _ ` i.t i C r' 1 GARCIA, LUL'1U 00024133 11/30/81 40. 79 0.00 0.00 40.15 9P ER A, 940 R NN GUARANTOR INFORMATION *N LUCIO GARCIA DOD WOODFORD DENTON, TX 76201 --NR - - - w GASS,DAVtO K 00024612 10/31/08 90.50 0.00 0.00 90.50 SP ER 4 213 2 3) GUARANTOR INFORMATION ww DAVID GABS 5001 W UNIVERSITY. DENTON, TX76201 - NR V 09E,STAGY L 00024695 06/0D/O8 110. DO 0.00 -40.00 70,50 ID ER 1 03/16/93 77 2 J NN GUARANTOR INFORMATION STEVE GEC - AT 2 LOT 26 ARGYLE, T% 761326 NA - I, GIDDONS,J D 0002DO72 12122/'.'? 591 55 0.00 _;ZO.00 39.95 DC ER 3 04129193 94 2 eJ NN GUARANTOR INFORMATION NN J G1DDONS PO 13OX 2650 DGNTON, -TX 76201 ANK- . FAT V G1DDS,OLAN OOD25090 09/06/O2 .'..66.00 0.00 -191.31 74.69 MC IP 1' 03/21193 72 2 w V NN GUARANTOR INFORMATION *N OLAN OlOng AT 2 BOX 23 AUDREY, TX-16227 NR. V 01LL,GERALD E 00029296 JP/04/0? 30.00 0.00 0.00 30.00 CO CA 1 01/28/03 179 2 u~.v GUARANTOR INFORMATION DORIS GILL AT 4 DOX 79 DENTON, TX 76201 _ NR V GLORIA, CLIFF 00025550 I9/lp/q;t 52,56 O,Od -20,00 32.55 9P ER O 04/22/93 40 2 ' NN GUARANTOR 1NFOAM~TIUN NN JUA14 GLORIA 2022 N ELM DENTON,-TX 76201 - NR V • OIIIN,MARIL T 00020726 1l/0'1/U2 46,25 0,00 0.00 46.29 0P ER 4 194 2 ) V GUARANTOR INFORMATION NN MARIE ODIN 1910 RUDDGLL 0216 DENTON,-TX 76201 1 OO! DEN, PAT JR L 000: 9759 10/:!1/132 50.00 06 DO 0.00 90.00 RA I IF' 3 11 /09/82 223 2 ' •N GUARANTOR INFORMATION *w PAT RR 00IDtN 900 47H 9T SANDER, TX 76266 NR .4 1r ODNIALEO, RODERT J 000?.D9314 l1 /7J /D: 50.43 0.00 0. UO 50.45 SP ER 3 199 2 I NN OUAfANTOR 1NFORMAfION NN AODDRT DR GONZAI40 400 W CONGRESS DENTON,-TX 761201 - NR 6, N ` T; A' I 4 I' PACE 13 t,yt . al JUPI I9D'J W n T C- O F F n E I' n R T `:y PATIFNr NAME PAT 11) 11106110 11CO-UAL NFW-GHO NEW-PAY W-0 DAL FC TYPE CYCLE LST.PMT AGE PO TYPE VI 1 1. ~ 190 2' 0170CIL LEW10 M 0002D981 1 I /$0/O2 40.70 0.00 0.00 40.75 SP ER 3.`" xx DUARANTOR INFORMATION xx ixwla GUr1C11 600 NORI149109 LEWIBVILLE,-TX 79067 f GOOD, KATHLECN 00OUD999 10/ 10/UR 161. 00 0,00 -129. 20 3Z30 SP ER ...-3 - 09/16/03 702 X45 2 t • v xx GUARANTOR INFORMATION kx KATHLCiSN GOOD RT 2 BOX 201 ARGYLE, - TX ---76226 - R ) L OOOD.KtVIN C 00OP6009 06129/UI 47.00 0.00 0100 47,00 SP ER 4 1^NR/03/81 *It GUARANTOR INFORMATION wx LCf 81NGLF7ON RT 1 Box 71 BIG BANDY, TX 75765 2 NR, ^v*~ (r GOVAN,BHIRL,CY A 00026203 OL/1;f/U3 30.35 0,00 0.00 30.35 SP ER 2 137 kk GUARANTOR INFORMATION kx OHIRL.CY GOVAN 204 ODUT14 RUDDELL X41 -DGNTON, TX 76RO1 y ` r~) , t• 'L OHAIIAM,DONNIE 000263RO 10/02/02 30.00 0. 00 0,00 36.00 8p ER 1 242 2 E I kx GUARANTOR INFORMATION wk MAX GRAHAM PO Box 955 LAKE DALLAS, TX 75065 .NR w, rJ I{ V DRAIIAM,JIMMY 00026369 11/01/132 67.75 0.00 0.00 67. 70 SP E 282 2 +r 76266 NR kk GUARANTOR INFORMATION xk JAMRS GRAHAM PO DUX 552 103 KATHERIN SANDER, TX T ' 162 2 ~e 5 , rr V GRANT, NORMAN 0 00026500 12121102 43.00 0.00 0.00 43.00 SP ER.~ 3NR.-.W kk GUARANTOR INFORMATION xk NCAMAN 0 GRANT 304 NORTHWOOD DENTON,-TX 76201 k L GnEEN,DARDARA 8 00026765 01/08/02 17.00 0.00 0.00 17,50 SP ER 4 2 01/12/02 009 2 R'r 3 DOX 48 FRISCO, TV 75034- fIR ~ k 1 kx GUARANTOR INFORMATION wn CARL GRL'EN 4 1 1776 2 4 ORECN, DANNY E 00026799 '12/07/82 96. RD 0100 0.00 96. §5 14 ERr 1 OR e p0 00X l6.^ CORPUS- CHRISTIO , 4X 7 40 kx GUARANTOR INt'DRMATION kk ELI7AOHT1l GRtPN GREEN,LUCILLE R 00026072 12/d^./S^ 91.60 O.00 OU 0. Do 91 460 MC IP 1 Ol/18/B3 SS1 T 9 91. _y 'okk GUARANTOR INFORMATION kk LUCILLC n GREEN PO Box 317 AUBREY, 76227 :J s. V GREY, ANNE D 00027177 12/Vi/02 52.00 0.00 0.00 52.00 Sp ER 3 162 R NR kk GUARANTOR INFORMATION kk KENNETH CORFNAN RT 1 BOX 1926 PRISCOr TX- 75034 Ir J tb.. V Gn1MC0,CLAYTON 0 000274 O 09/26/02 58.00 0100 0.00 5S, 00 ADD ER 4 NR 40 2 kx GUARANTOR INFORMATION k# ROGER ORIMCS PO OX 5 LOT ZS TWIN LAK. E8 MHP.DENTON,--TX-•76201---- GUTItARK2,BTCPHEN M 00027930 12!10/02 38.00 0.00 0.00 30,00 SP ER 3' S kk GUARANTOR INFORMATION kn STEPHEN GUTIERRV 3027 WINDMILL DALLAS,. TX 75234 V IIAGEMAN,P1iL/CIA M 00020/40 04/17/132 27.75 0.00 0.00 27.7576266 ER 3 07/02/82 410 ) 2 i kx RAY NAOEMAN - kk GUARANTOR INFORMATION P 0 BOX 156 OANOBR,- 2R2 2 1. HAINLYNE,TAMMSE 000?0191 80,22,02 60. OD 0.00 O.Od 40.00 Sp ER NR i) kk GUARANTOR INFORMATION kk ANTONIO PERRY 1LL4 t1ILL DENTON, TX 76201 - V HALF:, JFACMY 0002132a2 I0/09/82 74. QG 0.00 0.00 74. 00 10 ER 2 35 2 HR 902 SOLAR WAY DENTON, TX 76201 1 xx OUARANTDR INFDRMAiIOtJ kx LINDCLL IIALC 000"rt431 I1/13/U2 05. 65 0.00 0.00 65.65 8P OP 3 200 2 L IIAI I , CII Fiu N 8312 N ELM DEN70N - TX 76201 NR xx (tUARANIDR INFORMATION wx 011ANUA HA1.1. 4 889 2 HANKINS,WESLEY R 00009074 11/29/02 39. DO 0.00 0.00 39.50 SP ER 4 - xk GUARANTOR INFORMATION •w WESLEY HANKSNII 620 FT WORTH DR LOT 02 DIiNION, TX 76201-- NA - i r V~, /J t', . e 1 I I I 01 JUN $903 61 N l' 7 E- 0 F P h E P O R '1 PAGEy l4 yy . PAIIDNI NAME I'A'I III DISCHO DEO-DAL. NEW-CIIO NEW-PAY W-'U DAL FC TYPE CYCLE LOT. 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V HARRISON, DILLY J 00030114 0910n102 43. 0 0100 0' 00 43.45 SP ER 1 272 2 O0.0 61 HARWOUARANMOTHYNFORMATION ♦►00010411 HI/06L92 90.00 2070AV%~UB0SNTbNrOT50.00 P01ER 1`Dq 207 IIEALEY,SYLVIA A 00030940 10/05/R2 36.00 0100 0.00 - 36.00 BP OP 3 239 2 POI BOX ORB DDNTON, • TX- --.76.01--- CI GUARANTOR INFORMATION an CHARLES DAVIB 3409 KINGFIDHDR OENTON, TX 76201 HR 7 ,It HESDLER,BORGRT 00031094 11/04/52 168.32 0.00 -100,00 68,3.^. CO 1P 1 03/16/83 77 2 ft •w GUARANTOR INFORMATION ww RODERT HEIDI.CR HELM, ARV19 00031146 10/22/11P 30. 2U 63.60 0.00 93.80 MOB ER 3 12/03/82 7q 2 NO GUARANTOR INFORMATION ww ARVIS HELM 2,75 RIDGEWAY OR LEWISVILLE, TX 75067___-_-NR- HENDERSON,ALVIN 00031157 10/OD/O2 03.60 0.00 0.00 03,50 SP ER 1 239 2 Of GUARANTOR INFORMATION ww ALVIN HIINDEROUN 363 8 BRADSHAW DDNTON, 7X..76201 NA- - ° V Ii L.NDERSON,VICKIE L 00031020 06/26/02 30,.0 0. 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PMT AGE PO TYPE PATIENT NAME 00031716 11/11/02 93.75 0.00 0, a0 99.73 SP ER 8 NR 202 HERNANDEX,RALPH 63l MARTL•L DALLAB, TX-- 70214 ww GUARANTOR INFORMATION ww RALPH 10tNANUE7 0,00 0. Oq 95.75 SP ER 4, NR 1 DO 2 ! I 1 HICKD,HEA'111ER C 00037037 12l29/n~ 95.79 301 CORNAUO tl1069- DENTON,-7%, 76201 ww GUARANTOR INFORMATION rw DENNY HIGKO l HtLL,MICHASL L 00030260 18103100 97.97 0. OD 0.00 157. 97 DAI It' 1 !/88/03 180 ww OSIARANTOR INFORMATION rw MANY L NILC DUX 1109 DOWIE, TX 76230 " ER 3 3l9 2 HILLAIL.2UHAIR 00038204 07117102 94.00 0.00 0.00 94. 04 ADD PO BOX 11789 DRNTON,-;TX-J62n1 NR IV* DUARANIOR INFORMATION ww 2UIIAIR HILLAIL l W 238 1 0.00 38. 00 ID ER V HILI.IARD,RICKEY L 00032373 10/06/021 38.00 0,00 RT R BOX 173 TWIN LAKES- DENTON, TX 76801 NR ♦w GUARANTOR 1Na:gRMATfnIJ IV* RICKEY HILL ARD ~ 1 V FIINDRICKB,DENNIS W 00032466 l8/e l/08 39.00 0,00 0.00 30.00 SP ER 3 NR 268 7 OUARANTUR INFORMATION ww DENNIS IIINDRICI(S P 0 DSX 390 OOYD,-TX 77777 ww 1. 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HOMAN,RANDALL L 00033092 12/26/82 43,39 90.00MI7H LOT00 DEN TON35TXAD76201R 3 - MLNA - - - ' ww GUARANTOR INFORMATION rw RANDALL HOMAN ~ 1. 163 2 L HDNAVAR, MOHAMMED 00033100 12/20/02 45,10 0.00 O. (10 40,10 BP ER , 3 NR...w ww UUAfiANTpR INFORMATION ww M01iAMMED HpNAVAR PO BOX 6811 MB 070 RICHARDSON, TX •75000 L HONEA,TONY (I 0003311U 1006102 77.00 0.00 0.00 77,00 SP ER 1 207 '2 ww OUARANTOR INFORMATION Mw EDWARD HONEA 1122 PANHANDLE DENTON, TX 76201 NA ^ •._Y, V HOOK, MA0Y J 00033109 111/07/0;? 67.29 0, UO 0, an 67, 213 BP ER 4 186 2 NR ~w OUARANTStt INFORMATION rw ARDYS pHAR00 At 4 LOT 93 EXEC MHP DENTON, TX 76201 2Q9 2 ~ V HOrAINS,EDDIE D 00033838 10110/02 66.00 0,00 D.00 66.00 OF ER 8 ~{0. ;l ww NUARANTOR INFORMATION SUSAN HILLIN RT..1.i23 POINT VISTA--HICKORY. CREEK,-TX-•76,7tl1 11 u 1i HORN, RODE.R7 N 000:73: R2 10/111,18a 06,00 0, n0 0. at) 06.00 MC8 OF 3 I / 12/88 826 1 we O(IAtIAN11114 INFORMATION wM RI1R6Rt IIMON PO Sox 900.3 nONTON, TX 76206 r 23 8 ~ tJ , 2 00033340 lU/1R/D8 41.00 0.00 0.00 41,00 UP ER , TX 76801 HR t L NORTON, JOOIiUA ` ww OUARANTOR INFORMATION ww LORRIE HORTON EXECUTIVE HHP k4--DENfON _ li (•t4+ P y L 01 JUN 1903 WA I'7EOFF RGPOIt rPAOS Jb~'•-' PATIENT NAME PAT 113 01131'110 DEO-DAL NEW-Clio NEW-PAY W-0 DAL PC TYPE CYCLE LOT. 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J .,Q ` HUNTGR,JAMES C 0003430h !0/03/011 79,00 0.00 0.00 78.00 SP CA 1 241 2 00 GUARANTOR INFORMATION MARCELLA HUNICR 115 W l1 HU 00 MARK I NTGUARANTORI INFORMATION ywOOQ34322UNTER6/02 29.60 R0. 0ODdX379. 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JIM JACKSON -106AVE E 4123 DENTON,-TX-76?OS--- ...__.._..MR 4 JACKfION, TONY F 0003TiP9D 09/0B/B2 60.10 0100 0.00 60,20 SP ER it ' 266 2 P •w OVARANTIIR INFORMATION Ilk TONY JACKUUN 1016 RRCO DENTON, TX 76201 NR JACURR,JOY A 0003534D ll/23/OR 94.60 0.00 0.00 94.60 BP ER .7 190 2 r k• GUARANTOR INFORMATION Mk JOY JACOBS AT 1DOX -57C - LEWISVILLE, TX -70068- Iwrr ` r- t 1 ~ ' ,eta1~~1A PAGE17 0$ JUN 1711,? W R 1'7 E- O F F R E P Q g T PAT 11) 0304110 DEO-GAL NEW°GHq NEW-PAY W-0 HAI. FG TYP4 CYCLE LBT PMT AGE PO TYPE rnTlcNr NAME f 200 2 43, 50 DP JAMKS, 2 .+1+ 00035493 11/ 43.90 P ER ER 273 2 ll *w GUARANTOR INFORMATION a* KATHAANE JAMES y1 12 UO HILL ST 0,00 tlENTDN, 76. 1X 00 8 76201 KAT"HANE A JAMES 0. 00 76. OD 20. OD DENTDN, 76201-- lr w JARf1E4L EHIC-F 00033940 011/01/041 33, 00 8P UP 4 219 2. oil GUARANTOR INFORMATION R'ODk CA JAItRIiLL OD030717 SO/R5/8R 33, 00 0.00 0,00 is D BOX 321 ALVtlRD, T% ° 762?.O ' NR JErER,JE80ICA E ON GUARANTOR INFORMATION u* FRANCIS IP.TER ER .3 D7 2 0. DU 38. 00 OF R_-...__ DENTON,-T% -7620 ~ 40039790 09/ 17/011 313. 00 0,()D R , f JONNQDN,AUAM E 1.. EDWARD H JOHNSON 1606 C MINDD VILLAGE M202- Ili. *k GUARANTOR INFORMATION 0 00 25.00 HAI ER 3 -1 Ii2/22/92 345 2 > /'1 w JOHNO(K ANTHUNY K 00035016 OHSON 25.00 101905, PRAIRIE DENTON, TX 76201 - v l GUARANTOR INFORMATION 1137.9E JOHNSON 196 2 r 0.00 0.00 41.75 8P CA 0 - w IOHNUtlN,DAVSU 4 00039`)31 IS/17/HP 41.79 626 RUARDWALN DENTON, TX- 76201 MR v a* OUARANtOA INFORMATION LEE JDHN60N 176 2 tl. UD 0.00 47.10 8P ER 1 NR 0 47,10 w JOHNUON,0ALC J tl003GOG1 l2/U7/8R AT 2 0OX 204 DECATUR,-TX 76234 % GUARANTOR INFORMATION OALE JOIINSON 0. UO 01 00 41.80 HC ER 4 NR 1^..D0 . 2 w JUHNBON,GWENDDLYNU 00036149 l2/85/BiE 41,!30 332 8, RUADELL N119 DENTON, TX- 76201-- , GUARANTOR INFORMATION LEE JOHNSON 0.00 0,00 74.10 8P ER a 169 Z w JOHNCON,Jn*tY:B D 00036160 IP/14/82 74.79 pU OOX 381 PQNAER, 7X •76259 GUARANTOR INFORMATION JAME41 .IOHNSUN 256 2 i, 0, 00 96.75 8P ER 3 .....,.NR . 1 w JQHNUON.JrCRAY 00036194 09/]D/O8 9b. 79 404 U A8HW000 - 4EW18VILLGn-T% 79067 ; uJ GUARANTOR INFORMATION JERRY JOHNSON 289 2 30.00 0. OU 0100 38.06 RP ER 3 NR , dtlU3GR28 00/16/OR w JOHNSON,JUANITA L VIRNICG MCI,N70tlH 1120 E HIGKDAY- DENTQNr 7X. 7620 J 0 as/83 99 2 UUARANTUR INFORMATION r 0.00 -10t.00 42.79 8P ER 3 0003bR36 07/02/02 143,75 1227 MCDONALD - OENTON, TX -76233 - V J** GUN,KF,V QR INFQRMAtIbN Roy JDHN9QN NR UhAANtOR _ 0.00 0. UO 66. 001 8P ER 3 227 2 4 JDI ICIAAGL W NFtlRMA71QN MI00036:730CHAEL 10/17/DR J011NQUN b& 00 3407 VALLEY VIEW RD DENTON' TX 76a0f ER 34;1 2 . * * GUARANTOR 5 pp _ J w JUliNRONoPAhELA 00036760 06/83/02 38.00 0,302700 MCDONA 0.00 DtNTD 35, TX00 1760 .01 *w GUARANTOR INFORMATION ROY JOHNSUN 0.00 61,40 '8P ER D 228 2.,.~ , JOHNBONIPATRICN H 00036:192 101161U2 61.40 7300ALEXANDER DENTON, TX .76201 ..NA GUARANTOR INFORMATION RQTRNA JUHNRON 75 8P ER 2 368 2 ti 1 - - # J 00036499 SP/19/tl8 40.79 0,00 40,0100 704 JUPSTER DrNTON, TX 76201 NR w IOHNBUN, 811E IUlY Y R36 *w GUARANTOA INFORMATION *w A. JOHNSON UO 0,00 58,00 or ER 00036041 10/0A/tla D0, 00 p~' 1 RQ% 320 QP 3'3-A M1HrOft WGLL9, TX 761167 JD , WALKIQ 13 N w (WA INFORMATION **w (tUARANTUR w FRANK JRIIM'IS1P1 -&3 on 19, 27 8P EC , ' JOHN8ON, ER 4 p~~09/83 04 P Iv 2ALIA 00006990 08/24/07• 38'36 0,00 -P3 DENTON, TX 76201 kw GUARANTOR INFORMATION IALIA JUIiNOUN 1927 - V YY w 11, thk}fq:n~l'~V;:iS'KaIR. L Ol JUN 1911;1 WR I TIi-orr nEPOR T PA081B PA IIVN7 NAHr. I'Ar 11) UINCHO nVO-DAL NEW-CHO NEW-PAY W-0 DAL FC TYPE CYCLE LST.PMT AGE FO TYPE 1'`. S QJ 01Out 00036616 12/2U/02 16.22 0,00 0.00 16.22 CO 1P 41 ~ 01/27/83 105 '2 ` rta GUAnAN70n INFORMATION aw ROY JOHNSON 1227 MCDONALD DENTON, TX 76201 - - JOLLY, LEO M 00036707 00/39/02 D9.00 0.00 0.00 09.00 DAI. 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PRARIE DENTON, -TX,- V JONE8,JR FRANKLIN C 00037259 101121OR 78.70 oleo 0.00 78.75 To ER 1 2 232 2 h II aw OUARAN7tln INFORMATION xw FRANCES JONES 225 E DURK PILOT POINT,--.TX--76298 7-.- f ;NR V JONEp,L1NUA 00037602 09/23/82 38,00 0.00 0,00 39.00 SP OR 3 651 12 TX-- -760 as GUARANTOR INFORMATION xw LINVA JONES - 1020 BPRINGWOOD LEWISVILLE,— 67 -HR.r•. w- " ` Y , V V' JUNEB,LORI 00037010 00/29/02 20100 0.00 0. 00 20,00 8P OR 4 00/31 /02 276 7 rtrt QUARANTOn INFORMATION-ax -LORI JONES 1222 W. OAK. D11NTQNs--TX---76201. V JUNES, SHELLY A 00037192 07/31/02 02.00 0.00 0.00 02.00 ID ER 4, 309 2 ww GUAnANTOR INFORMATION wa DENNIC JONE 1702 N HAVEN on DONTON, TX•: 76201• NR.. 1 .IUAIiI:X, KELLY K 00097374 I1/OA/02 07. •SO 0.00 0.00 n7.60 SP ER 1 209 2 C4iJ 3 wa GUARANTOR INFORMATION wx rHnNANUO JUAREZ DOX 4 RT 9 DENTON, TX 76..01 NR 4 JUARCX,LINDA N 000073013 11.10500O.• 60.25 0.00 0.00 60.29 SP ER 1 178 2 _ 1 as GUARANTOn INFORMATION ww OENITU JUARL% P.O. DOX 374 PILOT POINT, TX, 76258 NR { 1 ~19 KONUALL,ULIVOn 00037061 00/17162 40,00 b,OU 0.00 48.00 ADD ER 3 700 2 NO GUARANTOR INFORMATION ww OLIVGR KENDALL 702 JONES SHADY SHOROS, - TX -00000- NA 60 KENNrMER,JEAN H ODO37911 13/19/02 53.00 0.00 0.00 03.00. OF, ER 3 169 2 art GUARANIOR INFORMATION ON IRAN KENNuian 2007 TEASLEY LN 0110 - DENTON, -TX -76201--. - NA - - - V KHANKHARIAN, DEHRAD 0003D133 11/24/02 96.50 0,00 0.00 96.58 CO 1P 4 01/26/03 109 2 " tJ -•-.NR ~ ' art GUARANTOR INFORMATION ww HAMIO If HrKMAT 6840 S PEMRORE 05NVER, CO S0122._ 11' K11O1111VIII,ALT 0007131'313 12/111/D? 44 00 0.00 0.00 44.00 SP LA 3 269 _ ..2 r~ art GUARANIHR INFORMATION as ALI KIIOOIIEIII ro POX 6023 RICHAnD80N, TX 7DOO0 NA - 9HOVA2IM,UTANA 00030190 00/20/o2 50.00 0.00 Oleo 50.00 OAS CH 4 12/27/82 277 2 TON, TX 76205 ~ as GUARANTOR INFORMATION as GHULAMnEx KfIOYAYIM 1102 DELL APT l09 D8N 3y 5~ ~ _ __i_ . __.._a. . L:i.,.J._,,..,.._. , r Ol JUN 19t1O W n 1' r E n F F R E V 9 n T PARR l9 ',''f1a I CK K1LLtNGUWIIRTH,11ARy Al 111 Uo Ir'fIU BEG-UAI. NEW-CI1G NEW-PAY W-O DAL PC TYPE CYCLE LST.PMT AGE FD TYPE V PATIENT NAItE •..._.._,._M:.,.-~_......~ 000JIM07 I O/' D/112 I A. 05 O, DO 0100 14,70 MC ER .7 ld O.-/82 224 2 xx rtVARANIIIR [MFORIIATION xw MARY KILL1NUflIlUIE7F1 1616 ELAN UfSWtON, TX 76201- i...,...,' ' ' K1LPAIRICK, LARRY CDC39 'J3 11/10/U2 73.00 0.00 O. CO 73.80 ADD OR 2 _ `i x+ OVARANTOR INFORMATION xw LARRY KILPATRICK 144 0 CONNORS FLORENCE,-AL -35360• KR 190 2 L KIMRLE, MELON L 60039300 10/01 /D21 3D. 30, 0.00 O. Oo 36.30 BP OR 1 r r 1 x* oUARANTUR INFORMATION •x M6LVIN KIMnLf: NR 243 r x dfI, t I ~ Bit AMARILLO pEMTON, TX--76201 - KIMDROUOII,()WEN J 0003048,^, 04/22/02 62.50 0.00 o.CO 62.00 8P F.R 3 400 - 2 ',tJ xw GUARANTOR INFORMATION xx OWFN KIMn1iUVPII 107 ACORN M. H, P,.- DENTONP, TX---746201- NR Y _ T f ~t:~_ ^r,g Sr 1, KIMMONS,RU`JBULL 00030459 10/12/02 73.70 0 CD 0.00 '13.70 SP ER 2 232 2 }I xx GUARANTOR INFORMATION xx KAREN ISttlMONO 0549 N. COLONY BLVD.- COLONY, TX 70OD6 NR-•- aL._...v,. KING,DENNIA L 00070409 10/01/92 65.75 0.00 0.00 65.75 ID ER 1 243 2 u wr GUARANTOR INFORMATION ww DONNIE VINO 416 LL MILL DENTON,- TX---76201 NR L KING,DDNNIL R 0003DS05 00121/U8 70.60 0.00 0.00 70.40 SP OR 3 284 2` xx GUARANTOR INFORMATION xx DONNIt KING 414 EAST MILL DENTON,•TX•176201 L. t., NR ; y r 1, L KINO,DUANIS D0038521 11/0/02 72.50 0.00 0.00 72.00 CO ER 4f 1134 2 w xx GUARANTOR INFORMATION +x DOROTHY RAY 2040 W OAK DENTON,-TX-.762p1 NR 1. ~ KINO, KATHERINE 00038004 09/01/92 30.00 0.00 0, 00 3Q.00 SP OR .j lr MLNr1 ` - 27. 2 ww GUARANTOR INFORMATION xw KATHERINE KING RT. I Dtl% 3GRC DENTON,--T% ••-746201 • a w _dlc` KUBICEK,CHRISTOPIIJ OOO37263 09/03/02 36.00 0.00 0.00 30,00 SP OR 1' 271 2t L/ wx GUARANTOR INFORMATION xw III JOHN KUnICCK RT 3 BOX 93C DENTON, -Tk_-746201 .,.NR LACHER,LAVERNA 00039420 Jl1D21O2 10.00 0.00 0.00 18.00 BAI ER 3l/11/B3 fql. Z 2 LJ xw GUARANTOR INFORMATION xw LEONA LACHIvr B90 FEROV60N- LEWISVILLE,-TX-.78067-. LARMON,DAVID F 0004abOD 09/29/02 61. 5D 0.00 0.00 61.50 BAI 1P 4 de/10/0.1 240 2 .1 xx GUARANTOR INFORMATION wx DAVID LAnMON RT 2 BOX 1064 DENTON,-TX-.76201-..-- V LAWOON, IVAN L 0004M79 0/191U2 46.00 0. OD 0.00 46,00 SP OR 3 225 2 xx GUARANTOR INFORMATION xx GWENDOLYN LAWSON 3240 LONDONDERRY LN 200- DENTON, TX 76201-ARK V LEDF01tb, DONNIE J 00040428 12/21/D2 47.110 0.00 0.00 47.10 SP OR 3 162 2 J xx. GUARANTOR INFORMATION xx DONNIE LEDFORD D12 NORTH CHURCH STREET PILOT POINT, .TX-7V958 ' to, L LEFLER,ROpERT JRL 00040764 12/,73/02 90,00 0.00 0.00 15.00 SP OR 3 160 2 i1 GUARANTOR INFORMATION *V RUnnAT Jn LEFLER 326 EAGLE DR DENTON, TX 76201 - HR LEW,16, DEeI U 00041012 12/02/0.2 40.00 0, 00 0.00 4V. 00 ID OP I 181 2 .J xx OUARANTOR INFORMATION ww DEBRA LEW18 1229 MORSB DENTON,..-TX .716901 LINII7itY,LIARA14 J 00041360 OA/;16/02 65.70 0.00 0.00 60,70 BP OR .t 340 2 x11 OVAnANTUn INFORMATION xx UAIIAH LIHUHEY PO nO% 1904 OCNTON, T% 76201 NR LINDUEV, SARAH J 00041392 11/119/112 91.65 0100 0. CO D1.65 MC ER 4 CMIG/83 184 2 xx GUARANTOR INFORMATION xw SARAH I LINDSEY P 0 BOX 1904 DUNTON, TX 76201 Irl V _ t r r y 60 L 01 JUN 19(13 y„. . _ 41h ( 7[-OFP REhORT P _ A09 20 L PAIICNT NAME PAT 111 DlgClld DF.O-DAI. NEW-CHO NEW-PAY W-O UAL FC TYPE CYCLE LUT~PMT AGE FO TYPE I MAlIONEY,NANCV L 0004kiJU) 01/07/93 J?q, 00 O. GO 0.00 Qq• OO SP ER 1 01/18/93 190 'l 2 09 GUARANTOR INFORMATION rw WILLIAM OWING 0033 PEMOFIZtON LANE THE COLONY, TX 700% NR MA I DNKA, JO9L'PH 0004,29,119 rr GUARANTOR INFORMATION +rPATMAtunKAD/%3 30.00 0.00 0.00 38,00 CR 1. 147 2 •~',c./ P. tl. BOX 04 ROANDISE._. T%--,76Q6 262-- MALI.OUF,JOHN T 0004.^_9tlP 09101t/q3 49.00 0.00 0,00 49.00 BP ER 2 143 2 l~' kr GUARANTOR (NFORMATIOM kk LINUA MALI.OIIF 2903 ROCKWOOD DENTON,-TX 76201 MANGHAM, RICHARD 00043083 00/110/0? 4a.50 0, 00 0100 40, DD BAI ER 4 09/27/92 277 2 II kk GUARANTOR INFORMATION 1k ELIZADEIH MANGHAM AT 2 BOX 1D4 ARGYLE, --TX, 76226- ANK MANN,STCVFN d y i---~ btl043117 61/03/03 30,00 0•00 0100 38.00 ADD ER 1 149 2 wr GUARANTOR INFORMATION k0 R1CV8N MANN FOUNTAIN APT 0106 -IRVING, TX 70060- MANDON,PEGGY D 00043224 10/30/02 30.00 0,00 0.00 30.,00 OP Dp 4 rr GUARANTOR INFORMATION kk PEGAY MANSON 214 - 2 1819-MONACAL LEWIBVILLG,• TX 79067-----•-.•.ANK..._ MARGUEZ, PR18C ILLA 00tl433b4 f 2/!b/q2 39.00 0.00 0.00 39.00 CO BR 3 rk GUARANTOR INFORMATION wr JOE MARQUEZ 2211 N BELL 4112 DENTON,-TX -76201 167 r 2 J MARRHALL,LARRY 0 0004342 12/06/9. i a 29g•62 -280.OD 0.00 ' 15.62 DAI Ip J 01/09/93 77 2 kk GUARANTOR INFORMATION kk LARRY MARSHALL BOX BOX 528 PILOT LOT POINT, TX. TX 76298- x V MAR814ALL,RAYMOND 00043430 07/26/QV 31.30 0.00 0.00 31,90 MCB m. 4 08/13/08 310 2 21 kk GUARANTOR INFORMATION wk RAYMOND MARRHALA. - PO BOX 1005•N COUNTY RD ,PRISCO,.,TX 70034 NR ` MARSII,LEtT,DEBRA 00043471 01/20/03 93.20 0.00 0.00 93.00 SP ER 3 0k GUARANTOR INFORMATION kk DEURA MARSILLETT AT 4 BOX 214 COUNTY. RD. 30 ...-TIFFIN,.OH •.448ddL.-._.-_ 138 2 Ly I 1 I .9 1 MARTIN, CA91.Y r 0 393 . 00 0, A0 0100 72.00 BP ER 2 ' 0r GUARANTOR INFORMATION kk KLNNCTH MARTIN 236 Q ~ 0/~O/q2 15 AT 1 #179 JUSTIN, T% 76247 ANK _ MARTIN, DEBRA 00043062 10/20/92 00 GUARANTOR INFORMATION kr DEBRA MARTIN tl0 O.GO 0.00 1 ADD OF 3 Il/20/9R 224 2 J ' 1009 TIMUERCRE[H LEWISVI BV7LLE, 7X .79067. ...NR lr MARTIN, 9YLVIA OO 01 /26/03 30.00 0, Ob 0.00 39.00 BP ER q 126 2 04 GUARANTOR INFORMATION kw CARL CARL C IIEDLCY 2500 LOUISC Ml07 DENTON, TN 76201 - NR ._Y;_ • II.' MART IN, T INA 00043703 12/02/02 00.0`0 0100 0.00 19.00 SP ER I kr OVARAN7OR INFORMATION rk CHARLOTIC MARTIN AT. 1 BOX 62AL -KRUM. TX 76249 .NR...._._ 181 2 MARTINEZ, GENARO 00043702 11/14/UP 109, 50 0100 0.00 109.50 ADD ER 2 " 0r GUARANTOR INFORMATION Ak GENARO MA(IT1NEZ 370 W MAIN LEWIBVILLEd TX 75067 . .,.UTL. 199 2 W MARTINEZ, WANDA V 00043794 09/10/012 13.00 0100 0100 13.00 BAI IP 2 0/29/02 264 2 v kk GUARANTOR INFORMATION kr BENJAMIN MARTINEZ PO BOX 702 -BANGERI-.TX.-.76966 L MAR I IN9VN, ANT)JONY 00043010 111/2 J/8,^ 30, 00 w0 UUARANIOR INFORMATION on (;IOURA MARI'INSLUJ 0000 O.CO 39,08 flP ER D fG0 2 w 3209 YELLOWOTONE UFNiON, TX 7620f NR . MATA, JOE I 00043960 09/20/1113 06.25 0.00 0.00 06,20 ID ER 3 I 1 'r W 0k GUARANTOR INFORMATION wk OLGA MATA 3009.URIGHTON -DENTON, TX 76201--. 077 _....MR Ilho „rig. OM >v 01 JON 14113 W R I 'T 8- 3 F F R E P 0 N T PAOE 21 PAIIBNT NAME. 1'AT 10 DIIICHU UEU-DAL NEW-CHG NEW-PAY W-O DAL PC TYPE CYCLE LST,PMT AQE PQ TYPE iJ MAt'fIICWR,JArlrl IIIF 00044156 07/:1:1/112 17.00 0.00 O.UO 17.00 SP Or 3 ~31p 12 wa 00ARANI(II! INFORMATION aw oAPIVR III MAiIIII?YJII 104 PEACH DENTON, TX- 76,101 .NR MAU01IAN, DLLDNA C 00044198 ll/03/fl'.' 31.00 D, t10 0,00 31.00 8P ER I 1h/04/82 210 2 ww QUARANTOR INFORMATION ww SHARON MAUPHAN AT, 2 BOX 110 ROWF.- DRNTON, TX 76201 11AUHItR,ANN C 00044214 12/13/011 64.50 D.OU 0.00 64, 50 Bp ER 2 ww GUARANTOR INFORMATION wx '170 2: ANN MAURIiR RR 3 BOX 1030 FRIBCO, TX 75034 RR MAXWCLL,MICHAGL D 00040261 OU/30/Oa 41.75 0.00 0.00 41.79 SP ER 4 273 2 LJ " xx GUARANTOR INFORMATION xw III WILDUR MAXWELL P,C,BCX 604 LAKE DALLAS,' TX 75063 - --NR MAYIIEW, SANDRA K 00044313 11/20/OR 09, 25 '0, OD 0.06 55.25 8P ER 4 ww OUARANTOR INFORMATION ww SANDRA MAYHF.W AT 7 ROY 411HH DENTON,-TX 76201 OR, 180 2 J MAYS, JACK I 00044334 l l /15/02 30.00 0.00 tl. 00 30.00 BP ER 2 198 19 xw GUARANTOR INFORMATION xw JACK MAYS 2800 FT WORTH LOT 19 DENTON, TX 76201 _"NR MCCAR'IY,FNANK 00044677 10/13/U2 D8. 00 0.00 0.00 DS. 00 8p GR 2 1931 FI 2 A 4 ;u xx GUARANTOR INFORMATION as FIIANK PiCCARTV PT 2 Dp% 222 p -AUBREV, -TX -76827 • »J. .,.~TL ,,...rr.. ff d' MCCOLLOM,KA7HY 00044776 0012n3/U2 105,00 0.00 -10.00 95.00 BAI' IP 3 -.4,?/26103 2 wx OUARANTOR INFORMATION 0x MICHAG'L MCCOLLOM 3409 MEADOWLARK LN DENTON, TX- 76201--c y.. MCCONLOQUE,JUDITH c 00044800 09/00/pR 72. 00 0.00 0.00 72. 00 8P ER 4 ww OUARANTOR INFORMATION xw JUDITH MCCONLOCUld 317 PINEWUOD -LEWISVILLB,--TX •-73067 2~4 V MCCONNULL,JODIE 00044026 00/00/82 05.79 0'00 0.00 06, 7D SP ER tt 297 I 2 xx QUARANTOR INFORMATION xx 10019 MCCONNELL 11111 8 CATHERINE TURRELL, .TX..-75160 MCCONNELL,LORRIE B 00044659 00/21/02 70.90 0.00 0.00 70.90 SP ER 3 284 19 xw QUARANTUR INFORMATION xw DEANA MCCONNFLL 2406 JAMES DENTON,-TX 76201. 0A NCCONNELL,PATRICIA A 00044867 12/19/82 39.40 O.OU 0.00 39,40 8p ER 3 64 2 w0 D GUARANTOR INFORMATION ax PATRICIA MCCONNELL BOX 363 0019 PECAN) BANGOR - TX--76266_. NR 6 MC NGLL, PAUL N. 400320265 04/22/03 40.00 0.00 0.00 98.00 ADD ER 40 2 x .J wx GUARANTOR INFORMATION ww PAUL N. MCCONNBI,L 1041 MEADOWS 013 DGNTON, TX 76201 _ UTL „ V MCCULLUCHoRUDY J 00044990 10/21/U3' 06.50 0.00 0.00 116. 50 8p GR 3 203 2 ~J aw.QUARANTOR INFORMATION wx JAMES MCCULLUCH 3400 JOYCE LN 0254---DENTON, TX- 76201--. RR U! L MCCULL00011, CUR'TI8 D 0004DO13 10/OB/D2 127.70 0.00 -50.00 77.75- ADD ER 2 68/17/03 104 2 aJ aw QUARANTOp INFORMATION ax CURTIB MCCULLOU011 laIO D MAPLE .DENTON, TX 76201 _NR 1 ,c N4DADG,DAIDOHTI 0004DO04 10/20/0U 47.10 0.00 0.00 47.10 8P ER 4 216 2 } J xw GUARANTOR INFORMATION aw DRIDOGTTF MCUADR 400 80 RUDDULL 0120. DENTON, -TX ..76201- -___NR _ _ - }}f~ L MCELRk ATIL AHYG L 0004D:12tl 09/1001P 105.00 0, 00 0.00 105.00 DAI IP 2 012/00/0V 239 2 ".'I C✓ w11 QIJARANTOR INFORMATION xw FIUr114IR MCELRIIATH At 6 BOX 243 04INESVILL6, TX 76240 R l1tt MCFADDEN, 811ELLY 00049369 12103102 22.10 0, 00 0.00 22.10 SP ER 2 11/03/e2 180 2 ax GUARANTOR INFORMATION ww RICHARD MCFADDDN 9316 PRINCE LANG DALLAS, TX.- 70069 1r WO f L G1 JUN 19111 WR l'1 E.- OFF rt ENDR 7 PAGO 22 PATIENT NAME PAT )M DTBCtiD OEO-DAL NCW-Cllg NEW-PAY W-C DAL PC TYPE CYCLE LBT.PMT AGE ' FO TYPE lI L MCOAUGH,CHITIS 0000435 l7/22/8P B0. 90 0.00 0,00 Ol1 Sbl y kk ARANIOR INr'(IRMATION wk H1C1101) MCGAU011 88. DO CO OR 3 !Z FlT 1 POX 799A SANOE . TX 76266 NR MCOA00H,CNILY 00040443 07/12/F1P 15.00 0.00 0.00 15.00 DAL IP 2 `1/10/82 324 2 :J ky GUARAMIUR INFORMATION kk TIMOTMY MCGAUGII PO BOX 126 AUDREY, --TX - 76227 - NA 1. , t 2l' ; MCINTUSH, If LITIIA 0 000400D7 07/10/H2 46, r3 0.00 0.00 46. 25 ID ER 2 306 0 J kk GS1AItA11rU71 INFORMATION kk VVRNICC MCINTOBH 1120 F HICKORY DENTQN,-TX 76201 NO RESPONSE. MCKIiOWN, 81AN 0. 400IP569 03/2O/03 57.60 0.00 0,00 57.60 ADD ER 3 72 2 K•! „I k♦ GUARANTOR INFORMATION kk STAN 0, MCKEOWN 1127 GREENWAY CT- UNKNOWN, IA 50009 ._.IITL L MCt,AIN,QAH. M 00040724 12/01/82 39.75 0.00 0,00+ 39,75 SP OP 11 1J kk OUARANItln INFORMATION kM GAIL MCLAIN 1303 OTRATPORD LANE DENTQN, TX -76201 NR. 102 2, MCLAIN,GA11. M 00043732 11101102 357.75 0.00 -310.00 39.76 8P OP 3 p4/01/83 61 p Rk GUARANTOR INFORMATION kk GAiL MCLAIN - 1303 STRATFORD LANE BUNTON, TX- 76201.-- NR _ • 111 MCNEIL, DEITY J 00040090 01/01/83 45.00 0.00 0.00 45.00 ADD ER 1 »101 ,y I3 kk GUARAN'fpR INFORMATION +rk JOHN FICNEILL 1414 1/2 OAKWOOD, DENTQN,--TX -76201• ,2.. u MCOUEEN, JAFIEH W 00040914 12/20/82 40. 75 0.00 0.00 40.75 ADD ER 3 163 2 kk GUARANTOR INFORMATION kk JAMES MCOUBCN RTO 7100 STIMMONS LOT54-_.CORINTH,-T --7620VLNA MEDINA, REOC.CCA J 00046092 10/00/82 03.70 0.00 0.00 83.75 9P ER 2 236 2,+ 8 kk GUARANTOR INFORMATION kk RICKY MEDINA 3506 BAOEDRUBH DHNTON;-7X •76201--+-. MCCNACH, MICHAEL P 00046144 07/04/02 66. 75 O. DO 0.00 69.70 ADD ER l c. kk OUAIIANIOR INFORMATION kk MIC14AVL MEENACII RT 1 DOX 362C. DENTON,._TX-- 76201, MR-_ 7- 270 2 tJ MEJIA, JUAN 00046171 00/00/Q2 83.75 0.00 0.00 83.75 9P OR 1 kk GUARANTOA INFORMATION kA JUAN MEJIAI 300 I N_ 1003 RAOLfi 11123 DfiNTQN,.Tk..76801 . . NR MEJIA,RICARGQ L 0004619:3 06/20/U2 96.23 0100 0.00 96,20 ADD ER 4 k4 GUARANTOR INFORMATION kk RICAIIDO MCJ1A 2420 LOUISE 017. DENTON,.TX-. 76201_.._.__._.HR.___. _ 338 2 J 16, MCNOQYA, J005 00046976 11/RS/Bid 40.00 43. 50 0100 83.00 BP ER 3 kk GUARANTOR 1NFOnMAl'ION kk JUVCNTINA MIINDOZA 300 8 AVD09LL #01 DENTQN, TX -76201 --•-_NR,.._..,......, 16 +w/ 61 MlIRMI, JODI L 00046334 11 /OO/O: 00. 25 0.00 0.00 99.20 SP OP 4 183 2 f :J kIF OUARANIOR INFORMATION kk JOD1 LYNN MERCER nT 3 LOT 06 ROANDKII, TX -76262 . NR 6 MBTAWE, SITYMA S 00046441 0/30/82 60.00 0.00 0. 00 60.00 8P ER 4 - kk OUAAAN'rOR INFORMATION kk 9AAD MCTAWC R05 CENTRAL APT 2 DENTQN, TX 76201 - .NR 3 2 LJ M*0CGUARANTORDXNFORMATION kk00CLFnnDAOMRICABLF 09.75 910 08 LOCUST 0100 89-75 76201 ER 3' NROq/14/97 3~ 7 2 J ►w Mr.ICAtF,nURrrRT J 0004AM! 07104711;! 99.00 0.00 0.00 59.00 ID ER I T kk OUARAMIUR INFORMATION kk 1:1 1'RLDA MUICAI.F 910 B.LOCUBT DENTQN, TX 7b201 IIR 270 2 V MCYt-'I?Fb DRCNOA 00046969 11/07/82 30.00 0100 0100 30.00 8P ER 1 10 GUARANTOR INFORMATION kk HlttiNOA MEYSRN 401 LOOP 280 114-5 DENTQN, TX.. 762ol -UTL.-.. 206 2 ' r ~ vJ 01 JUN 19L0 . ...e hriS W R 1 7 E -0 P F R E r n 0 T PAGE 20 1- PA1 fFNf NAPt&' NAT 11) 11IOC110 BEO-UAL NEW-CHU NEW-PAY W-0 DAL FC TYPE CYCLE LOT.PMT A0E PO TYPE CISODLE'ttlN, OEOROC 000466:23 09/PD/02 49. SO 0, 00 0. 00 40. 50 ADD ER 3 U54 R .y OUARANTLIR INFORMATION a* OFOROF MIDDLErON 114 AVENUE E 0J 19 DENTON, TX 76203 UTL I MIDGFfT,LI'u'A 00046656 00/16/02 90.00 0100 0.00 70.00 6r ER 3. 289 2 as GUARANTOR INFORMATION *a ROBERT M1D0ETT 630 PERTH FLOSSMOORE, IL 00000----- - MR L MILES, PAULA R 00046706 0710610;2 15.00 0.00 0.00 15.00 13AI -111 1 09/20/82 330 2 as GUARANTOR INFORMATION CLFNNON R MILFO 212 8 RUDDELL BT 059 DENTON, TX-767201-- NR L. MILLER,AMUE9 D 00046714 11/19/02 29.20 0.00 0.00 29.25 SP ER 3 11/26/82 194 - 2 as OUARANTOR INFORMATION KELLY PULLER 2800 FT WORTH DR 061 DENTON, TX- 76801--1.NA r t' MILLEILEVA J 00046753 07/07182 200.09 D.00 -100.00 100.00 ID OF 1 03/10/83 83 R as OUARANTOR INFORMATION ERNEST MILLER AT 1 BOX 60L AUDREY, TX 76827 -MR iI. MILLER,.IACKIE M 00047019 0/n2/OP 30.00 0.00 0.00 30.00 ADD ER 3 161 2 a* GUARANTOR INFORMATION .IACKIE MILLER - 1038 WOODMERE LEWISVILLE,.T%- 70067- ----NR 1v MILLER, JOHNNY W 0004700D 10/ 14/92 7a.00 0.00 0.00 70,00 76200 ER , NR 169 7` 1 V as GUARANTOR INFORMATION *a J. C. HILI.F-It P. O, b0% 483 BANGER, TX- L MILLS, WESLEY J 00047431 10/17/0;? a2,00 0, OD 0,00 B2. 00 8P ER 3 027 4 2 ! as GUARANTOR INFORMATION DILLY MILLS BOX 625 LAKE BALLAD, .-TX 1-75060 MIN0,PEG0Y A 00047514 12/16/92 62.75 0.00 0.00 62.75 SP ER. 3 J67 T 2 GUARANTOR INFORMATION as L.AfIRY MIND 245 CONNER PLAZA - LEWISVILLE, TX- -75067- -MR L MITCHELL,CAROLYN D 00047571 01/21/03 0.00 120.90 -74.90 46.00 8P OP 3 03/21/83 72 2 a* GUARANTOR INFORMATION as CAROLYN MITCIIELL 2019 STELLA 011 - DENTON, TX -76201 ..,......MR tiw MITCHELL,PATRICA A 00047639 12/e2:3/02 64.50 0.00 0.00 64.00 CO CA 3 1,10 2 i I✓ as GUARANTOR INFORMATION as PATRICA M11,C4IEI.1. - #611 1022 TEASLEY LANE .DENTON,-TX 76901 MA p 1 kv MONSCIIKC, PATTY 00047993 I I /D4/O72 48. 50 0.00 0.00 48.50 SP ER 4 109 2 tJ *a GUARANTOR INFORMATION *a LAIiRY MONSCHKC AT I SOX 124C KRUM,-T% -76249- _ ..,MR _ MOODY, DAVC B 00040002 10126102 66, 65 0.00 0.00 66.66 SP ER 4 iJ as as 219 R GUARANTOR INFORMATION BONNIE MOODY 5016 STRICKLAND THE COLONY, TX 70086 . MBORG,DANIEL H 00040173 12/24/0:. 06.95 0.00 -20,00 66 9S SP ER 4 03/18/83 75 R as GUARANTOR INFORMATION as DANIEL MOORE 1416 MICHSAL DENTON, VX 76701 NR V M40NC, IACKIIi M 000413223 07/28/82 41.90 0.00 0.00 41.90 8P ER as GUARANTOR INFORMATION QARY L. MILLER AT 41EXEC MHP 073 DENTON, TX- .76201 - NR cl-_ 2 ice,` i V MOORS, MALYNDA K 00040306 07/07/02 95.70 0.00 0100 95. 75 0P £R 1 327 2 W w+ *a GUARANTOR INFORMATION *a DAN NUI3RE 310 STROUD CLEDURN&, TX .76031 NA +3 n- MOORE, OT 113 E 00048114 07/07/117 61. 50 0100 0. 00 63,130 OF ER 1 NR 267 2 J as 01)ARANTOA INFORMATION sa ATIS M11f10C 608 ANTELOPE OR 0140 WII.COX MHP ROCKSPAINGB, WY 02901 ` MOORS, PINK W 000413= OB/D6/82 00.4D 0 00 0. 00 55.45 1D I?R J 12/07/0$ 480 2 a* OUAAANTOR INFORMATION a* SADIE MfIORE 116 8 WOOD DENTON, -T% -76201 NA ,h y w 1T 1 4 L bl JUN 1903 W It 1'T L- O F F R L' P O R T PA08 24 VA110N'r NAMC 1'A1 If) DIEC110 0E0-DAL NEW-CHD NEW-PAY W-0 SAL PC TYPE CYCLE LST,PMT AGE FO TYPE MDIfA11,1iMANURL 00040'/l 09/0/14' 40.70 0.00 0.00 40.70 UP ER 2 261 R •.r..,, as QUARANTOR INFORMATION aw 1=Mp.w11GL t111RN1 MALt1Nl* APTB 021 HUNTSVILLE, T%- 77340 NR MORENO,BCNItA 00040494 09/21/i12 38.00 0.00 0.00 38,00 8P CA 3• 293 2 r ww GUARANTOR INFORMATION aw JAM1f_ MONwNO SIR RAILROAD DENTON,-TX 76201 -NR L MOROAN, rRANKIC W 00040603 10/,,D/U7 40.70 D, 00 0.00 40.75 8P ER 4 3 171, h 219 2 A}.' , as GUARANTOR INFORMATION as RONALD MOI?QAN 107 PERRY DR DANGER, TX 76266 NA 1 HORNED, SORI1 L 00048728 OB/21/97? 784 OD 0. OD 0100 78. 0'j 8P EA 3 284. 2 - A --~__14 wa GUARANTOR INFORMATION ww DNIfID MORNCB 000 8 RUDDELL 0130 DRNTON, TX 76201 - NR MORRI9,DWIOHT M - 00040777 12/121/DD 42.39 0.00 0.00 42.30 DP ER 3 y 162 R as OUARANTDR INFORMATION aw OWIOHT JONES D12 CHISDLM TRAIL -DENTON, TX- 762201 - NR MORA18,KIM 40019333 04117/03 86.80 0.00 0.00 86.80 ADD ER 44 2 J wa GUARANTOR INFORMATION aw KIM MtlRRtB 992 CHARLED -LEWI13VILLD,-T%--70D67•- -IIR fr ;:ell 1w 1 .1 " MORRIS, MALCOLM W 000481343 00/01/82 38,70 0100 0.00 38.70 8P EA 1 304 µ R. 4' 00 GUARANTOR INFORMATION wa MALCOLM HORRID PO BOX 603 SHEPHERDSVILLE4 KY- 40160 NR 4 MU88, CL21ER D. 40020273 04/22/03 47, 00 0.00 0.00 47.00 ADD ER 4 ' r { yr 'r36 k +rr f J 1, as GUARANTOR INPORMATION aw RLMCR D. MOOD PD BOX 12 THICKET, TX -77374. NR MOTA2ED1, BE1114102 00049128 11/27/82 30.00 0.00 0.00 38, 60 UP EA 4 186 2 J wa GUARANTOR INFOAMATION wa BEHROE MOATA7E1) 2430 OL NORTH RD APT 16 - DENTON,--TX-- 76201=NR .uJ x u y.. ,_y MUNOER,VICKI 8 00049397 10/01/Ri' 23.10 0.00 0100 23.10 0A1 ER .1 11/S6/02 243 B a l GUARANTOR INFORMATION as VICKI MVNDER P O 00X 429 ANNA, -TX. -70003 . r.-_,.NA MURP11Y, DIANE 00049445 1b/O6/f172 5a.75 0.00 0100 08. 79 ADD ER 1 239 2 as GUARANTOR INFORMATION aa, DIANE MURPHY P 0 BOX 3091 DENTON# TX 76201 KRA 1 MURPHY,MICHAEL P 00049460 07/17/82 34,00 0,00 0100 34.00 ID ER 3 319 aw GUARANTOR INFORMATION** MICHAEL MUIIPHY 719 ELM MODCON, 1D 83843 NR. MURRAY,ANRCLA L 00049479 10/OO/02 13.00 0,00 0.00 13.00 EP CA 2 10/11/82 236 2 J MM GUARANTOR INFORMATION as 7.OLA ♦'IURRAY P.O.IIOX 1023 ARGYLE, TX 76226 NR 1 V MURIIAY, ROBERT F 00049010 00/20./82 40.70 0, 170 0.00 45.70 8P ER 3 293 2 J aw OUARANTOR INFORMATION as ROBERT MURRAY 629 OAKLAND DCNTON,. T%. 76201 NA f_ ~VI V MYERB, J0 ANN 00049005 09/13/12 40.70 0.00 0,00 40.70 EP ER 2 261 2 / as GUARANTOR INFORMATION as J(1 ANN MYERB AT 3 BOX 671 C/O W R MYERB KIRDYVILI,D, - MU W0679 V NASORS, MICHAEL J 00049607 10/721 /02 99.00 0.00 0100 99. 00 SP ER 3 L'23 2 ~J wa OUARANIOA INFORMATION as RAYMOND WILCOX RT,. 2 BOX 2340 AVORRY, TX .76227-. NA NAROUL, PATRICIA 00114969: 11/06/07 14.10 0.00 O O0 74. 10 ADD CA f I MINA H07 2 as OVARANTOR INFORMATION aw CCOVttllL'fi NARRUT 1901 LAKEVIEW CIA 413 LGWIBVILLE, 1X 70067 I! V NAVE, JOIIN IG 00049767 11/IU/82 40.70 0100 b,(IO 40.70 1S ER 3 190 2 L1 0UA ANTU INFORMATION wa JOHNIE NAVE 0tl% 74 AUQRfiY, T% 7062I NA ' _ . _ r ~t. IM i'I L of JuN 19m WII I'T E -dF r RE 1+0 R T PADfi25 "4 I✓ PATIFNI WAMFi PAI 1D 01111NO ql.C-DAL NEW-CHO NEW-PAY W-0 DAL FC TYPE CYCLE LOT.PMT AGE PO TYPE Ii J NBUrEI.D, DrL 00000096 10/IP/UP 47. 90 0,00 0.00 - 47.00 SP OP 0^••-^ - Y 232 . -'r + xx GUARANTOR 1NrORMATION xx DCL NEWFELD 1228 MILES BILLINGS, TX 59102 OR NTURC,DEO11IE J 00030948 1:/2i/02 16.00 0.00 0.00 18,00 OC ER 3 01/29/83 162 2 ON GUARANTOR INFORMATION xx EMMANURL NTUDE NT BOX 6564 DENTON,- TX--76203- - --NR - l l 1 v tlDE1.L, JAMEO R 00061169 12/29/82 40.79 0,00 0.00 40.70 ID F.A 4 164 Q ON GUARANTOR INFORMATION xx JAMOR UDELL 1008 PECAN SANOEq, TX -76266 I xx ODOM,AMTIER 1) GUARANTOR INFORMATION xx OOOO0 00001243 D3 1ST1I/D1Gl44/ROd 82 78b2,70 .9D 212 0,000 WEBB 0.DENTO00 N,-TX- 7S.7`JO 6201 SP DAI . 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RUDOELL 0162 OSNTON, TX 76201- NA J r 4 PALMOUAIIAINUR INPDRMATIdN «x00010104 55216PALMEF219/02 193.10 P0.0ODX 77336ROANDKO. SO 4 NR 24/83'..-.....- b9- 2.. - - I I- V PARKCR,AARON M 00092241 1?/10/OP 43.00 0 DO O.OD 43.00 CO OP 2 173 Q NO GUARANTOR INFORMATION ON CARYN PARKER 1r HUNTERS CREEK RD DENTON, TX 76201-----NR - ~y'""' PARKER,RICK 8 00052301 L2/OD/62 76.35 0.00 0.00 76.36 SP ER 1 176 Q Rx GUARANTOR INFORMATION xx RICK PARKER PO BOX 0906 DENTON# TX 76201 - -NR - - 1.. - + x'11, PARKER,TONY W DOOOP43L 10/11/32 34.60 0.00 O.oo 34.60 SP ER 2 10/12/02 233 2 . - - xx OUAAANTOR INFORMATION xx TONY PARKER PO BOX 981 LE14I8VILL6, TX 70067 OR PAI, MARIA G ODODP.910 12/129/02 47.06 0100 D.00 49.00 SP ER 4 168 2 J ' 910 B LOCUST 030 DENTON, •TX- 76701 OR I ■x GUARANTOR INFORMATION ON MARIA PAZ V CNA. CYNTHIA R 000531P4 10/0,.'/11P 125. 00 0.00 -00,00 75,00 BAI 1P 1 03/15/03 70 2 of OUAOANTOR INFORMATION xx CYNNIIA PENA 01 bILVGRDOME 001 OENt6N, TX 76201 NA PENTZ, DGNA M. 43023689 04/1?7/O3 70.00 0.00 0.00 70.50 ADD EA { UTL 30 2 ~ . 00 GUARANTOR INFORMATION xx DAN PENTZ MAVHILL AD 0520 TRAILER PARK DENTON, TX 76201 - -r u Is Ol JUN 1903 W R 1' f c- 0 F F R E P 0 11 T v-_..•.. PAGES _ 116 'i PATIV14f NAME PA'f 111 Il3DCH0 51:0--DAL NEW-CHQ MEW-PAY W-0 DAL PC TYPE CVCLE LOT: PMT AGE FQ TYPE :y II _r L' PERItt,JEOUS JR Oof1f,J'197 ll/8h~0;' 111.70 0100 o.00 81.75 BP ER 4' 187 2 ww QUARAN'IOR tNrORMATtON ww it.11UH RR P1iII1:1 511 SMITH DENTON, TX -76,701 UTL PORt3Z,JR TRINIDAD 000941030 1P1161flu 38.00 0.(lO 0.00 30.00 8P ER 3. 167 2 ww QUARANTOP INFORMATION ww JR TRINIDAD PDRNZ 021 ROBE DSENTUN, TX 76;101 RA - PEIWZ,JUAN J 00053413 10/21/IY! 3fi, 00 0.00 0.00 30.00 SP ER 3 223 2 r' w+' 0t1ARANTOR INFOHMAI ION ww JUAN F,PRE1. 821 N CARROI.L DENTON, TX 75201 RR PEIIL'Z, JUANI'tA 0004^4,?1 00/ 17/H,'! 44. OO 0.00 0.00 44.00 DAI IF 3 0/06/02 288 2 1 wu GUARANTOA INFORMATION ww ANiJNIA PCREt - 306 FRAME DENTON,- TX 76203 PETERDON,KAREN L o00d37VO 64.05 0.00 0.00 64.58 ADD ER 3 160 2 ww GUARANTOR INFORMATION ww KARf'N PETERSON RT I DOX 227 FRISCO, TX. 78034 UTL PHILLIPS,HOCKY A OOOD3967 01/25/03 30.00 0. 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A V POINDEXTER, PETE N 00004403 10/31/02 38.00 0.00 0.00 30.00 ID ER 4 213 2 ew GUARANTOR INFORMATION ww PEtE POINDEXTER 1003 -AQLE 0201 DENTON, TX- 76201 • NA HtlPE, ANDY R. 40061904 02/08/03 30. 00 0.00 0, 00 38.00 ADD Fq 4 111 Q kM GUARANTOR INFORMATION ww LOU POPE 235 YWIN LAKES MHP DENTON, TX 76201. UTL ..1;1+11,, V PORTER,JEFF M 00004900 013/12/t'2 14.50 0.00 0.00 14.50 TO ER 2 0 /1!/83 1293 2 ww OUARAN70R INFORMATION rw ERNeST PORTER 1700 W OAK DENTON, TX 76203 POYNOR,WII.MA L 000!14718 07/11/00 150.00 0.00 -00,00 100.00 OF IF 3 0,2/12/03 109 2 wM GUARANTOR INFORMATION DILLY C POYNOR ww PO BOX 298 OT JO,..T%-..7626D MR _ 1'1 1660 PUC1(fil T, DRANDY 00011 11 !)a 1 1 /25/OP 49 OO 0.00 0100 49, 00 81 ER 4 11111 2 ww QUANANTOR INFORMATION ww MAIN, PUCKLTI 1536 01(ARI-VO DCNTON, 1'X 76..01 rrd V PtINCILANNIE M 00085194 07/31/82 6S. 00 0. 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L 00056440 10/30/02 52.75 0.00 0.00 D2, 75 SP ER 4 214 2 V ww OUAnwan INFORMATION ww PAUL REIS ROYAL CREST APTS 832 -DOWIS, TX--76380.-;-.__NR._..__ - t L ndVVLLO2A, ANTONIO 00056566 I f /2B/U2 38100 0.00 0.00 30.00 OF ER 4 385 9 ww GUARANTOR INFORMATION ww ANTONIO nEVULLOXA 332 MILL DENTON, TX 76201-•- NR J{ L REYNOLDS,TCRnY A OOD56739 07/23102 10.00 0.00 0.00 18.00 DAI ER 3 00/31/82 313 2 ~ ww GUARANTOR INFORMATION ww -RALPH REYNULIIB 1621 DO 7TH STREET --A7CH[880N,-KA- 64002-~ NR. _ _ . y RBYNOLDS,TIMOTHY E 00056747 12/31/02 47.10 0.00 0.00 47,10 BP CR 3 102 12, ii 'J ON GUARANTOR INFORMATION rw TIMOTHY nEYNOLDO 100E REED DENTON,-TX--76201 NR _ L RHOADB, DDRO711Y 00056796 06/20/82 37.70 0, OD 0.00 37.70 MOO IP 4 8/24/82 338 2 { t✓ ww GUARANTOR INFORMATION Not LOIS ROADS RT 2 BOX 1131 DGNTON, TX.- 76201 ,.N~. RHODES,AE'T1A 00OD6020 12/05/0,'? 4,7.42 0.00 0.00 42.42 MOB ER I 01/18103 178 ft 31 ON OUAnANTOR INFORMATION nw RETTA RHOUBrS RY 4 BOX 413 DENTON,-TX 76201- ` RI0IAnD8,CHRIBTINA 00056937 f0/J5/n2 0,:.00 0,00 - I 1. 25 70,79 ADD ER 2 02/26/83 9h 2 1J ww OUAnANTOR INFORMATION ww JAMES HICIIARDO nT I DOX 237-AUORBY,-TX- 76227 M RSCHARDflpN, ERIC L 0006704,. " 09/n0/O2 . 00 0.00 73, 40 SP ER 3 204 2 73,50 0.00 rw OUAAANTOA INFORMATION +w J09EPH EMMCIIJ IUOf EOAH DENTON, TX 76201 nICIJAjMCLONFORMATION ww0000700307/97/09N 40.00 ILO 0.00 40,00 SP OP 3 OR/04/82 309 2 GUARANTOR ` R 0 EAGLE 8109 DENTON, TX 76901 --_..NR _ V RIOIIAnDnON,PAMELA R 000D7117 0/01102 29.20 01110 0.00 29, 2D SP CA 1 102 2 'f 0 ww GUARANTOR INFORMATION ww THEAOtlnL• RICHARDDON 1629 MEADOW DENTON, TX .76201 - - NR 61 00 Rw4IIDUARANTORKINFORMATION 00 WANDA8KQ7RICHE-Y 26.00 SD160JIILLCREBT 8201 2MESOUITC, TXER75fOf NR /13/02 106 2 1.1~J V RICHIr11,0ARY L 000D7174 09/09102 92.09 0.00 0.00 92,09 DAt SP R 10/12/02 26D 2 41 ww GUARANTOR INFORMATION ON GARY L PIC11IFU ID16 PERTAIN DENTON, TX 16201 NR IIICKD,U£nllYL 0005719010/19/112 59,30 01(10 0.00 69,10 SP ER 3 225 2 NN GUARANTOR INrOnMATION 04 00INY RICKD 2022 LOUIDG 825 D£NTON, TX 76201- - -.NR , ti 0 1 JUN 19 011 I I I r r- 0 F F R E P O It 1 PAGE 70 1 I'A71PN7 NAME , I rAT 11) I1Ptu9t0 _ t,n[. NLFI-C110 N814-PAY W-q DAL PC TYPE CYCLE LOT. PMT AGE PQ TYPE NlORUY, MARIA I. ObI1!i11i3I OO/IR/Ilii 30.00 0100 0.00 38.00 RP ER 3 207 2 it QUARANTOR INFORMATION rr JOIRINY PAIIrtN 613 ROLL INtl RIDGE OR LEWISVILLE, TX 7eo6711R 4, + e RINOIIAM,CNRA M 00097470 12/14/13R 42. U9 0.00 0.00 42.20 RAI IP 2 nr GUARANTOR INFORMATION rr LIRA RINONAM 01/05103 169 2 W Pp BOX 609 kRUM. TX 76844 NR RIDIN0,Lr'YTY D 000D750D 07117102 49,00 0.00 O.DO 49.00 DAI IP 3 011/10/02 319 g 5 I w► GUARANTOR INpIIRMA7ION rr Rfi7r'V R N18ING 814 QARDFNIA CIE DUNCANVILLE, TX 75137 NR RIVERA,DrSIDERIO 000u7bR0 0011710R 93.00 0100 0.00 93, 00 10 SP 3 01/23/83 pep g I, rr GUARANTOR INFORMATION *01 UD,10ER10 R1VliRA 2217 DTELLA STREET - DSNTO TUN, 7%--76201------.HR r-~ 4 RODI NOON, ILLY C r "_lr rr NOON0I INFORMATION rr000DO1D'/ 111dillI8 60. 90 I~ + BILLY NOPINRON 0100 0.00 66. 90 8P OR 3 !1/22/8? 192 ? I r 1814 UAKWDDO OENTUN, TX 7X 76201 - NR _...,-1 , ROBINSON, C1.01A E 00090147 10/80/OR 62. 90 0.00 0, b0 62.50 SP ER 4 rr 21 GUARANTOR INFORMATION rr CLARA RODINOON 029 BENNt. T LEWISVILLE,-~TX 70067-. _ __..NR. 9 2 ROBINSON, KATHY a rr OUAOANTOR INFORMATION rrU0nALPI8 ODINU/UR 10.00 0100 I8.00 BAI ER 3 '08/74/82RALPIi RlINURN 616 IT E, 2ND EN ENI D, TX 77987-• ~:NR 315 ~ ? RODINDON,RUSSrLL 0009DR97 07/07/0P 75.7D 0.00 e ~ rr GUARANTOR INFORMATION »r CLARA ROBINSON 029 BGNNETT LE O. WIBVILLE, LE: BP ER 1 ?b7 , 2' , -TX 78067 NR RODISON-RODDIE 1. 00000304 07/10/02 44.90 0.00 0.00 44.00 SP ER" 2 326 g'..""~ r rr GUARANTOR INFORMATION rr RDDDIE ROBISON 1304 W HICKORY APT 8 bENTON, T% 76;101- ROBLES, OLENDA A 000DEJ370 07/29/OR 38, 00 0.00 0100 30. 00 SP ER rr GUARANTOR INFORMATION r. GLENDA 110111-1511 RT D BOX DS MISSION, q 248 2 ,y -TX - 70372 _ ~ _NR •jjj V ROC"A,L100ARUO 000013396 OD/Rb/FlR 56.00 0.00 0.00 $6. 00 8P ER 4 ~ I r< GIIARANfOR INFORMATION rr LIODARDO RO:HA 277 2 816 8086 tlENTON, T% 76R01 NR , ROCkWELL,TINA L 00000404 07/84/88 26.00 " rr QUARANTOR INFORMATION rr TINA ROCXl,0.L O,Ob 0100 26.00 DAI 1P 4 09/27/02 3]g ? { 3,.09 SHERMAN DRIVE DENTON, . TX 76201 NR + RODPES,DARDARA A D000bDll 09/11/02 20,20 O.OD 0.00 20,20 or ER 2 09/13/88 rr GUARANTOR INFORMATION rr BARBARA nawfi'U $63 11 tltlX 438 PILOT pOIN1- TX 76208 NA RODRIGUEZ, JULIO C 00090636 00/10/132 26.00 0.00 0100 f r# GUARANTOR INFORMATION rr JULIO ROURItlUEZ 26.00 BP ER r g 00/11/8.7 1295 2 I} AT. Q COX 301 ARQYLE, T% 76226 _ NR ROORIQUEZ, gLtlA Y GUARANTOR INFORMATION rrODO0D671 11/07/09 20.00 , 0100 0.00 20.00 0A1 tP 1 01/11/83 JUAN RODRIOURZ 004 CARDINAL N6-4- DENTON,-TX -76201 MR SOh 2 J J RDDRIDUEZ, TOBY 40010110 0300/113 70. 7D 0.00 0.00 78. 75 ADD ER GUARANTOR INFORMATION rr TONY RODRIQUNZ 710 ODUTH LOCUST 1132 DENTON, TX 3 Ug g J tv _.76201-_ NA _ _ _ - . RrICLN8, R11 1.Y W COOM1119P 07/17/02 6D.00 0100 0.00 60.00 ID ER 3 V57 2 ea 40 RUAIIANrOR INFORMATION rr fill LY IIOQI rut 1210 kN[OIiT MC tlENTbN, TX 76x01 NR SAtN, Vl!nA J 00009507 00/23/02 65.25 0100 -5.P5 rr GUARANTOR INFORMATION rr VERA SAIN 60.00 0P OI 3 00/02/63 91 ? J 1421»D N LOCUST DENTpN, TX 76.701 - NR + ir1 V I Ul JUN 1710 W R 1''f C O F' P R G P tl R T PAGE 29 . PAII1"NT P)AMC I-AT ID Dllt(.N(I DE0-UAL NIlW-CHO NEW-PAY W-0 DAL FC TYPE CYCLE LOT. PMT AGE F0 TYPE f, •1 1. BALSI?R, JGFF 1 t L 000140038 06/ 16/OV 100.00 b. 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OANDOVAL,11DU1G 00060403 10/27/U8 38.00 0.00 0100 30.00 tD OR 4 717 2 1 fJ ww GUARANTOR INFORMATION wM VICTOR SANDOVAL 1429 R1005CR99T CIRCLE -DENTON, TX -76201 ANK - { iw SANFORD, DOLI.IC K 00060017 12/2S/82 61.10 0.00 0, 00 61. 10 BP ER 4. 155 2 r IIw GVARANTOR INFORMATION rn DOLLIE BANFORD RT 1 BOX 647 SANGER, TX 76266 DA *0 GUARANTOR NFORD, JAMES R 00060025 12120102 30. O0 0.00 0.00 3B. 00 SP OR 4 150 2 + { 1 515 RUTH DENTON, TX -76POJ NR SANFORD,MARDRIJINFtlRMAT10N MARILYN SANFnl?n D5. 00 0,00 0.00 55.00 ADD ER 1 10/16/ 82 241 2 j ~ INFORMATION ww MARK BAfURO FIT 2 BOX 90614 DENTON, TX 76201 ----MLNA - ,III SANFORD, VINCENT It 000600DO 11/26/DR 70, 75 0.00 0.00 70,10 SP OR 4 Lou *0 GUARANTOR INFORMATION rw RUSSELL. 13HINF 515 RUTH DCNTOM, TX 76801 R, ai Y .,tJ RAPP, ANN M 00060601 11 /20/02 61.00 O, 00 0.00 61.00 DP OR 3 193 2 J + ww GUARANTOR INFORMATION ww ANN RAPP OT J BOX 43D AUBRBY, TX ..76227.. NR .__1,-__,_ c GAVLS, ERIC T 00060780 11/15/02 03, 50 0. 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BEAORAVES,STEVEN H 0006013 12/15/Up 41.70 0.00 0.00 41.70 8P ER 2 ww GUARANTOR INFORMATION aw OTCPHGN SRA(IRAVGS 168 2 ITT I BOX 44 RHOME, lX 76078 NR I 1 r 9HLLERU, WILLIE J OD061U90 07/001/0 73.07 0.00 01 00 73.07 DA1 IP 3 00/16/02 315 2 Y',{! 0w OUARANIOR INFORMATION ww WILLIE J OELLERU 930 OCOTT DR DENTON,-TIC 761201 ANK - ....L; Ir DHAKER,NADIA 00002042 11107102 50,00 0.00 0.00 50.00 BP OR 1 R06 ,2 J ww GUARANTOR INFORMATION ww NADIA SHAKER 400 LONDONDERRY #12 DBNTON, TX 76201.- NR- Ib f3lfAYE0f4lIIA0H, MOIIAMMAD 0001,1:240 10/04/02 46.00 0.00 0.00 46.00 SP ER 1 240 2 00 OUARAWTOR INFORMATION rw nniIAMMAD 811A'el0HIIIAGH 2020 CIIARLOTTC N2OS DENtON, Ik 76701 NR b HIIEARER, SALLY A 00068;160 00/301OU 36.00 0.00 0100 36,00 BAI OR 4 10/06/02 775 2 ~ ww GUARANTOR INFORMATION ww BALLY $01EARUR 509 CAMPBELL- DENTON, TX -76201 1r V ) , L 01 JUN l9Ua w. 30- W It t 'I' C- O 11 F R C P D R T PA06_ I+ATICNt NAME PAI 11) UI600 HEO-DAL NEW-CHO NEW-PAY W-0 UAL FC TYPE CYCLE L02.PMT AOE FO TYPE _ r„ 4 L' fillN 0UAlkAN(ARLN liml 911 ^ 1 4 10/l9/OQ 975 Q ~ OO0b;`% W 03010:1 D`' 95 0.00 0.00 59. 5,1 MPS 1P - 4 ON AUARANTUR INf~ORMATION MM + 0 606 CHAMBERS DP.NTON, TX 76201 NR DH No QUAnANrON ERWDOD, DEI_DR10 A (ytlC 5 03/10/0,7 63.95 O. DO -•10. 00 55,90 DA1 IP 2 03/15/83 70 2 _ :J 110 BOX 2904 OCNTON, TX 76201. POUARANTORFINBUHMAT nN UHEfIWOf)D RHI 76. 90 0. 00 0.00 76, 90 ID ER 1' ryp [ON MICHAEL 8111111,ET 240 $ J 11305 OAR DENTON, TX 76201 ~ SHOOK,LCEOA K 0001,11/06 09/26102 46.10 0.00 0.00 46.10 DAI ER 4 10/25/62 248 2 M J NN GUARANTOR INFORMATION NN JUDY OJfOOK PO BOX 090 IOWA PARK, T'X 76367 UTt - a 8IEUCNTS, PAUL 00011:19104 10/211/92 90. 00 0.00 0.00 50.00 SP CA 4 816 Q J rrV~` No QUARANIOR INFORMATION r* 0A4L IIIFUCNTYB 1004 JOHNSON DENTON, TX 76901 'UTL-"- I t 81HMONS,REGAN L 0006'3048.00/00/02 10.00 0.00 0,00 18.00 DAI EA ,2 10/04/02 197 2 NN GUARANTOR INPORMATION NN REGAN SIMMONS 1604 WHITE OAK DENTON, TX .76201 NR - - + 9IMONBCN,JCREMIE 00063305 11/19/02 90, g9 0.00 0.00 99.89 BAI IP 3 03 94 ! 2 ItJ NN OUARAN'G tNFORMATION NN DENNIS UIMONOUN AT 1 BOX 641 00 SANOER,-TX 76P66-4 jj 4 1 , y SIMPDON, LANA R 00063371 10/89/92 611. 00 0. b0 0.00 69.00 RP OP I 4 R11i 2 I NN OVARAN'tOR INFORMATION NN LANA UINPSON BOX :221 JUSTIN, TX--76747 _ .•r _;:ryp . 01 M9, JAMES T W .I tt 1,. 00063404 10/86/92 50.00 0, UO 0.00 _50. d0 11) ER 4 11/89/89 919 2,', NN GUARANTOR INFORMATION NN JAMUD SIMS BOX 910 ARGYLE, TX, 76226 -NR .L. I L BLA76N,WENDY Y 0006369D 10/00/82 301 00 0.00 0.00 36.110 SP ER I11739 2' NN AUARANTUR INFORMATION NN ALTON BEARDEN P n DUX 677 LAKE DALLA6, TX---79065 BLOVER,DAVID L 000639n3 10/03/92 133.50 0.00 -67.00 66.00 ID ER 1 40/29/63 93 8 j J No GUARANTOR INFORMATION NN DAVID Si.DV14i RT-7 AHERWOOD 1181 014 DENTON,..TX 16201 NR - - V BMELLEY,PAULA i 00063917 18/30/82 91.05 0.00 0,00 91,05 SP ER 4 1 NN OUARANTOR INFORMATION NN KENNETH Sf4ELLEY 153 Q AT 8 BOX 282.-J AVOREV, 7% 76227 ...___.NR L 9M[ YH, ANN , 0006395(1 09/09/02 95. 00 0.00 0.00 95,00 SP 1P 2 09/24/82 265 Q ( Nil AUARANTUR INFORMATION NN WILLIAM SMITH 3324 000 n LINK DENTON,, TX 76201-NR - SMITH,MARCUS 1' 00064469 12/00/02 60,70 0,00 0.00 69.73 SP ER 1 NN GUARANTOR INFORMATION NN LORGNC BCOT'f 9115 SCOTT DENTON, TX 76201 191 Q l' J NR J- f ,I 9MtTH,PENNY D 00064592 00/20/91! 36.00 0.00 0,00 36.00 SP ER 4 00/31/82 077 2 ~<J NN AUARANTUR INFORMATION1 NN. amt: 9P11•Ni AT I BOX 1002 DENTON,. IX 76201 - - NR . 11 J-% . V+ SMI tH, VESTA L 00064016 18/27/U:2 53,00 0.00 0.00 53.50 Sp ER 4 *0 GUARANTOR INFORMATION NO, VanTA SMITH 156 Q J 1116 ARAPAHO HART9NOREN, DK 74547 NR 11H11N Wtt L1AM 0001.491:! I; /I:I/S2 6:1 3D 0100 0.00 63,15 SP EA 8 170 2 I J W IN DUARA7IlQR INFORMATION NN WII1.101 tR111H 2212 FT WSRiH UN 076 bENION, TX 76201 NR L 00LOMON, TERR.9A L 00060101 IV/ 16/02 49.00 0.00 0.00 49.00 BP CA 3 167 2 I +J NN GUARANTOR INFORMATION NN I.CU UOI.OMON 725 N WOOD DENTON) TX 76201-.. - 1~ 1 01 JUN 1'1fY) 41 It 1 "I' E- O F F R F P O 14 7 •PA00 31 ~.-•..~.~%r l PA71CN1 NAMC PAT 1)) D18010 DE0-DAL NCW-0110 NEW-PAY W-0 DAL FC TYPE CYCLE LST.PMt AGE PO TYPE Ii SONS, LLOYD 000604101 12/27182 10.00 0. OD D.00 18.00 MC IP 4' 01 /28/03 156 - 2; + ! I Of OVARANTOR INFORMATION wx LLOYD SANS AT 1 11X8 601 SANGER, TX 76266 NR - - r 011AID1ILDUM 00065417 12/04/82 94. 7D 0.00 0.00 94.79 8p OR l 12/06/82 179 2 xx OUARAN'rOR INFORMATION ax DON UPARKS PO BOX 267 AC AUDREY, TX- 76227 - -7 nr !r L SPAULDING,DAN14Y K 00060466 11/2U/02 80.75 0.OD 0.00 00,79 SP ER 4 18D 2 "a J xa 00ARANTOR INFORMATION as DANNY SPAULOINO RT 3 086 ROANOKE, TX 76262 nr - SPENOEA,CHARLES W 0006D524 11/27/01 29,00 0.00 0.00 85.00 In EA 4 11/24/82 881 2 xw GUARANTOR INFORMATION ax ROBERTA SPENCER 1002 EDMONDS LN 41116--LEWISVILLE, TX- 70067nr - SPRARARY, DENNY 0UD6D690 09/17/82 04, 60 0.00 0100 54.60 ID ER 3 257 2 } .eJ xx GUARANTOR INFORMATION wa DENNY 8PRA11AY 719 DRIFTWOOD DENTON, TX 76201 o;sk V RPRARARY,'r5RRY W 00069748 09/29/02 81.00 0.00 0.00 01.00 SP EA 4 249 2 U x0 GUARANTOR INFORMATION ww TEARY SPRADARY RT 2 BOX 314 AUDREY, TX -76227-- - nr..---- ! i L RPRAIIERRY,CLANENCL' E 0006007/ 07/31/02 00, DO 0.00 0.00 00.00 ID ER 4 ( 309 2, I U xx GUARANTOR INFORMATION as CLARENCE SPRARFRRY 1102 JOHNSON DENTON, TX 76204 nr OPRAYDERRY, C INDY A 00069047 01 /29/03 120,00 0.00 0.00 120, tw ADD EA 4 123 2 i' v! 00 GUARANTOR INFORMATION xp C1NGY SPRAYIIBRRY ACORN RANCH DENTON, TX.-76201- Ith SPRAYDEARY, RICKY 1. 00069854 01/217/83 142.79 0100 0.00 14R, 79 ADD ER 44 1143 2 0x GUARANTOR INFORMATION xx RICKY SPRAYBB101Y ACORN RANCH- DENTON, TX -76201 L OPOING,THOMAS 1 00065062 12/00/81P 09.70 0.00 0.00 59.78 SP ER 1 178 - 2 xx GUARANTOA INFORMATION aw THOMAS SPRING AT 2 BOX 43 CAPRICORN- DENTON. TX .-76201. _,,.nr._____._.._.,.,:_. i 7 3 RPUNAVOLE, I.1NOA J 00066019 07/26/82 95- 175 0100 0.00 95.29 ID ER 4 310 2 " ,.....s' ax GUARANTOR INFORMATION 0x LINDA SPUNVOLE 423 W FAIRLANE LONGVIEW, TX 75604 -..00 K V STADILE,NICHOLAS J OOOla6O76 07/17/02 1I. 70 104.88 0.00 116.70 ID ER 3 12/14/82 34 2 0w OVARANTOR 1NPORMATION ax CHRIS STABILE 1906 EMEASON DENTON, TX 76201 ` STACK, JOIN IUA 00066134 11 /26/fl P 72, 9o 0. 00 0.00 72.50 SP ER 4 187 r 2 xw GUARANTOR INPORMATION 00 GLEN STACK nXX 204 PUNDER, TX 76259 - - nr y.. kw STAONI:R, JANIIS K 00066209 07/15/UV 9g. 90 O. OD 0.00 59.50 SP gin 2 299 41 00 GUARANTOR 1NFOAMATION 0a RON SUnDITH 603 PEACH DANGER, TX 76266 •-_nr V STALL, WALTER 00066217 10/13/08 43,50 0.00 0.00 43,50 8P ER 2 031 2 J aw OUARAN'rOR INFORMATION xw WALTER STALL 2522 LOUISE 421 DENTON, TX 76201 nr; L' STAMPER,JOC 00066241 10/03/02 32.75 0.00 0.00 32.70 SP OR 3 01/27/03 241 2 w0 GUARANTOR INFORMATION ax JOHNNY STAMPER 747 HOLLY OAK LWOVILL9, TX 70065 L 5'rANLFY, IIVNIIY 00066:100 )0/19/0" 3R. DO 0. 00 O. D0 an. 00 8P ER 3 2Rn 2 1 00 OVARANTOR INFORMATION aw )JENNY STANIEY 100 O RUODELL 09 DENTON, TX 76POI nr SIARR, JERRY W 00066030 1:2/31/00 96.00 0. 00 0.00 96,00 SP ER 4 102 2 1 ~J w0 GUARANTOR INFORMATION xw WANDA SrARR AT 2 DOX.154, AUDREY, TX 76727 to.. i yr* Wn 1"rE UFr n rrit n T AA08 O? • tll JUN 19l13 a " I'A"r it) ni!Ifl it) DEG-DAL NEW-•C}10 NEW-PAY W-0 DAL PC TYPE CYCLE LOT. PMT ACC FO TYPE ,,5v PA11rP1'Y NAME 11 0,00 91,99 SP IF l' 11/03/02 2a9 ! 00066146 !0/G.1/Its 91 9D tl. dU I. RT[EN9E11UGN.WILLIAM H %0.00 RTEENDEROEN S$l3 N PLACE PLANO, TX 75079 -NR J wr CUARANTUn INFORMATION t,r WILLIAM Sit l'roUfi11U1`IT ib2 R III 0006676:) 18/2I/116, 30. 00 0. UO 0.00 3q. 00 Sp ER O'. __NR.._._....- ..T_._;......~ tow $'rGb`Q,1LL, ait IA NFtlRMAT1UN LtlWI:LL UTI QNAI. 1930 MCCbnMICN DENTDN, - 7%- 7 CUARAw011 6201 wr ww : II iw ADD F.R 3 77 _ rte, Z 40U111;1tl 03/14/1713 g6. 9y 0. UO 0.00 $b. 99 UTL . $T F.pWIIiWgRI, ANDISEW Z. , RT. 3 nax 412 VLgNON, TX -00000 wr GUAnANIUn 1NFDNMATION ww ANDIICW Z. UfIYINIEH9fS1 13AI Ip 2 11/29/$2 416 q - DEN70N, T% 76201.NR....__...._.. 00026944 04/11/11" 91.1 00 R7' 9 BOX 2b O UO MAYHI. LL 90qD.00 f 1r 81CVIiN6, JOANN 1 ww CVARANTOR INrORMATION ww 0E0110% 8 eVl'00 OP 3 NR 12JB3 364 L gT1i.VENS, WAYNII 11 00066993 061O:/U2 '-'l. 92 039. 18 OU 0AUGUSTA.00 XD 21.DENTDN,b2 TX SP 76805 wr OVARANTOR INFORMATION ww WAYNE SICVFNfi ga4 2 0.00 0.00 Otl.00 ID ER 3 -Nk - - oil 1+ gTIUOEq,NF.NNY d00070GG !0/8d/N;2 00,00 P1.O.DO% 1809 DENTDN, 7X- 762^01- P ww CVARANTOR INFORMATION ww LARRY MUELLCn ' p ADD ER 4 ~b7 L 1 >c 40013837 03/01/00 40.00 0.00 0,tl0 4$.d0 + i ATINNT$71 12000 FT WORTH DO 061 DENTON,.IX- 76201-- UTL QUAIIA rw GUARANTOR INFORMATIUN ww JANICE DTINSUN 71 I , ,J 40012393 03/110/03 40. 00 0. 00 0. 00 48, 00 ADD ER 3 II ---7x--76RO1F- IUTL r j' I r! V fITINJUN,NRIUTl 1. 2000 ITT WORTH-OR 061 DENTDN, rr GUARANTOR INFORMATION +!w JANICE $TINRUN i12413 ti SZ 110 gTUN&,PICLODY 000671a'? 09/2G/g2 76.00 0.00 0.00 76.60 OP ER 41. PO 90X 103L SPRSNOTOWN,..TX -76002 aw GUARANTOR INFORMATION ww MELODY $1ONE y ' 2. NR _ • - ..,2 0 1! ' +L, 00007080 OO/20/07 4G. 00 0. 00 0. DO 46. 00 SP ER a a V 9TOUT,MAnY A ww 067nV 000/2 19@1 I.ATTIMORG DENTON,--TX--76201 T- t J ww GUARAN'rDR INFORMATION RICKY IbR 2 .00 30.00 SP ER 9 4 gT w~ 00067603 12/Gl/UU 30.00 0.00 0 - NR II * OUE,DOROTHY F - rw GUARANTOR INFORMATION •w DOgbTHV 8T17/1NGE RT I DDx 193 AUORHY,,TX 762127 - . I J f $'tRA7 DN,CARLOS S . ..a.L4 OOU6768Ln 10130/132 48.49 0.00 0.U0 _ SHADY SHORL'3 APT 1 L49,AKE 4q 1D DALLAS, - ER 7X - 4 7DQb9 NR wx OU,!RANTOR INFORMATION wrt CARLOS $TRA'tTON f01 2, i~ J 00067983 It/22/O2 94.79 OLI; 0 00 94.79 SP ER 3 NR V $TUr1R,TONIA R 412!: 0AN A00. 0STINE PASADENA, TX---7790 wr pUARANIOR INFOgMA7 tON ww 7tlN1A R7U'f1L3 !d/23/00 204 2 i 00060007 40, b 00 0.00 40.70 9P SR 3 V $ULL&NOEq,JOI1N F Og/21/02 79 R D POX 102 ACORN RANCH DENTDN,-•1X- ODODO NR wr OUARANTOR INFORMATION ww JOHN DULLkNOER 1P I d0/10/$¢ 334 2 Q . 32.00 0,6 00 MILWAU0It.E 00 STOUGHTON 32. OD DEDAINTDN, WI~ 63689 UTL - 4 $UTCUARi, OR I AN T 00068130 07/02/01 J rr GUARANTOR [NFbgMAT[pN wr GERALD 7ULLOI~gRUb 102 267 2 0.00 41.00 $P ER 1 RT_2,.pO% 4378 DENTDN,-TX 76201 - ~ lw $WCATMAN, 8'IEPHANIER UOUGt)Ol2 09/07/92 41.00 U. UO NR ww GUARANTOR INFORMATION ww GARY OWEAIMAN 08/82 297 2 , 00 190 . 10 0AI IP 2 0 09/ BW(10RIANIUR ORL IS 800611010 bO/OBiRIt SpO.10 0,20900 0 CHAPARRAL RD (F) AUSTIN, TX 70746 ww UUARANINPDRMATION ww CAlUJ1 Vy HWtu r1+11U , 26 2 ~IJ 40010390 04 /02/03 99.00 311, 00 0.00 97.00 gP ER I 074. _ ' iADEn, M1CI144L ROY 109 HASSEY DENTON, TX 76201. 4 wr 0UARANI'OR INrORMATION ww MICFIEL ROY YADEfI I r' r V _ • v Z' , i Ul JON 19110 Wit 1' T E- D I' f R E P 0 R i fSAOE 33 ":L I'ATIfNf IJAMi° PAT IR IlI0CH0 REO-DAL NEW-CHO NEW-PAY W-C UAL PC TYPE CYCLE LST.PMT AGE PO il'YPF. 1. ,.r.._.:-.-+. ! L 7ATUM,CHRf0T0PHR 00060640 10/04/0Y 30.00 0.00 0.00 30. 00 BP ER 2 ~ 235 2 'f It f r' .1 ww pUARAP1700 INFORMATION NN 7ANE TA'IUM RT3 BOX b3A FRISCO, TX 79034 IIR hB,n~, l' TAYLOR, JOHN P 00060009 10/82/02 34.72 0.00 0.00 04,72 SP OP 3 12/20/02 222 2 NN GUARAN100 INFORMATION Nw W TAYLON PC UUX 11 GENE-AUTRY,-OK. 73406 - NR._ - TAYLOR, RRUECCA A 0006tlBtl2 12/10/02 76. 50 0.00 0.00 79, DO BP ER 3 t 5 2 t I f• Nw GUARANTOR INFORMATION NN APBECCA 1AYI.011 323 Nt1RMAL NB DENTON, TX -76201 L' ; TAYLOR, OHENIOUA I. 00060900 10/02/0D 2G,00 0.00 0.00 28.00 SP ER 1 1 *04/82 ' 242 2 + Na GUARANTOR INFORMATION NN ALISA TAYLOR 617 CIAAMUE148 DENTON,-TX-.-76201 / t-- ~ THOMPBON, GRADER 00069294 09/30/02 38.00 0, 00 0.00 38,00 9P ER 4USL.__. 294 2- 1 ~ ; •.J~ NN GUARANTOR INFORMATION Na OARY THOMPSON 2900 FT WORTH DR BOX 39 DENTON, TX 7001 -----~~---•-«y ._...iL V THOMPSON, APRIL E 00069002 09/10/02 313.00 0.00 0,00 38.00 SP ER 2 264 2 li aw GUARANTOR INFORMATION NN MICHAEL THOMPBON 906 AVE A DENTON,-TX--76201 L THOMPOON, JENNIFER 00069393 l0/n7/82 5^'00 0. DO 0.00 00, 00 SP ER 1 ON GUARANTOR INFORMATION Na LINDA THDMPOON 821 SMALL GRAND PRAIRI, TX 700DO NR 237 2 THOMPCON,PATRICIA A 00069450 JO/23/02 43.00 0.00 0,00 43.00 SP ER 3 NR 221 2 " Lv wN GUARANTOR INFORMATION NN GEORGE THOMPSCN UOX 410 KNUM, - TX 76249 _ T M T Iw THCRNTON, TOMMY 00069067 03/24/U2 106.60 0.00 0,00 106.60 BP ER 4 0 24/82 434 2 ' •C as GUARANTOR INFORMATION Na THOMAS THORNTON p/ ,1 y I ' 719 WOODLAND tlENTON, TX 76201 •:-nR 'IRAIL,AMANDA 00070144 10/12/02 40.33 0100 0.00 40.33 CAI IP 2 11/02/82 232 2 NO GUARANTOR INFORMATION aN DAVID'I'RAIL 736 CUNNINGHAM GAINESVILLE,-TX,-76240-- V TRAPP,R9SHA L 00070227 Otl/12/02 18,00 0100 0.00 18.00 DAI ER 2 09/13/82 293 2 as GUARANTOR INFORMATION NN BETTY TRAPP, 420 MILTON LEWISVILL(l, TX- 75067 F TUCKUR,DENIOE D 00070341 00/20/02 100.69 0.00 0.00 100.69 SP ER 4 NR 277 2 tJ NN GUARANTOR INFORMATION aN DOODY TUCKER 1301 0 PECAN. LOT 4 DEdCATURI-TX--76234 _ 1n TURNER,MICHAEL W 00070540 09/1D/02 38.00 0.00 0.00 38,00 SP ER 2 259 2 '4 Gi aN GUARANTOR INFORMATION NN MICHARL TURN011 602 MORSE DENTON,-TX 76201 NA UECKGRT, JOCY M 00070714 11/09/02 46, 90 0.00 0, 00 46.50 SAI IP 4 t /30/02 104 2 ~ w NN GUARANTOR INFORMATION aN HAROLD UECKERT 204 LAKE VISTA LEWISVILLE,.1'X 70067 I V IILATURKI)NICIIARD 00070771 .07/12182 89, 90 0.00 0.00 89, 50 SP OR Q 262 „ q 1 v NN GUARANTOR INFORMATION Na RICHARD ULAlO9Ki 2017 EME1180N DENTON, TX 76201 NR -~1V UNDERWOOD,FRIEDA 00070060 11/20/OO 01.12 0100 0.00 01.12 CO IP 3 Ol 11/83 193 2 ON GUARANTOR INFORMATION NO AURTIN UNOSRWUOD 1423 PANHANDLE DENTON,-TX--76201 N~....... UPC11NC11, Drnn fE J 00070946 0"1071!12 29.00 0.00 0.00 29, CO SP ER l %27/02 479 2 NN OIIAIIAMICA tNFORMATION NN V1INALD Ut'r'RLICII 167 KIN09WOOI1 LAKE DALLAD, TX 7806:1 nRR VAN, CANNON DAVID, L 0001JO76 09/24/00 40, 711 0.00 0.00 40. 75 SP 6R 4 250 2 NM GUARANTOR INFORMATION NM COY SHARON MC D06.0 RU00ELL OL75 OSNTONI-TX 76201-- -••--kA I r c 31 01 JON 19113 W n f'T r- 0 r r n F P O N I PAOE 34 :n- PAIIP,MI MANE PA-1 In DIOCHO BEG [JAL NEWCHG NEW-PAY W-0 DAL FC TYPE CYCLE LBT.PMT AGE FO TYPE L VAN.DYKE WANDA J 00071100 04/JI/04 96.79 0.00 . 0.00 96.75 :'+P OR 2 011414/02 416 ° ww OUARAM1110 rNrORMATtON wx KCIIMRTH VANDYKE PO BOX 702 DANGER) TX 71j)'016 VAN, PI!LT DAVID L 00071142 11 /09/02 39. 00 0.00 0.00 39. on sr ER 2 MR 204 2 ww GUARANTUR INrORMAIION 1Fp ALIAN DOWNS 109 MARBEY 1111 DENTON, TX 76201- - 3 VANt:1: , JOHN 1: 00071 S 75 11/21/02 42.50 0.00 0 00 42.50 SP OR 3 NA 192 2 `J ww (ulArtANTOR INrORMATION «w JOHN VANCE RT I) TWIN LAKES #324 DENTnN, -TX 76201- - V VANDYKE,LAWRENCE R. 0007109P 10/31/BB 103.00 0.00 0.00 103.00 SP OR 4 RR RIO - 2 Itf ww GUARANTUR INrORMATION wx LAWRENCE VANDYKO 110 WOODROW LN DENTON,-TX 76201- - i L VERNON, JR WALTER L 00071464 00/06/0)2 94.00 0.00 0.00 94. DO BP OR 1 NA 399 Z I1 ww GUARANTOR INFORMATION ww JR WALIrR VEnNON no BOX 264 HILL & WHITE PILOT POINT, TX 76258 •w--W L VERNON, PATSY 00071456 00/30/02 In. 00 0.00 0,00 18.00 DAI OR 4 ~R/04/112 276 2 wx GUARANTOR INFORMATION xw PATSY VERNON 901 PRECISION DENTON,-TX 76201 ` VpW-LL, OLENDA J 00071746 10/30/02 108,40 0.00 0.00 100.45 CO OP 4' 0431/03 21,4 ~ 2. t `t Nw GUARANTOR INFORMATION xw JOE VOWELL nT I BOX 06K VALLEY VIEW) TX 76272 -•-+s J., '6. t 1 r ' %w WADE, LEO C 00071779 1R/00/62 09. DO 0.00 0.00 09. DO 0P OR 8 NR , 179 ~ !Z wx GUARANTOR 1NrORMATtON xw LEO WADE PO BOX 47 AUBREY, T% ,76227 M WAIIL07nOM,7AMt7HA D 00071037 11/10/02 38,30 0100 0.00' 08.38 ep ER 3, ti 'k 19T, R~ f ' ww 0UAnAN'r0R INFORMATION xx BOTH DARSUN 2024 W OAK #135 DENTON,-7X 76201• - RR WALKEn, RICHARD F 00072116 11/14/02 311. 00 0100 0.00 38.00 0P ER 2 NR 199 2 xw GUARANTOR INFORMATION w+ RICHARD WALK0)1 PO BOX 618 LIT7LF ELM,--TX.-70906-- \1, - T--- - r gj,f,l II. V WALLACfi,RICKEY L 00072173 09/03/02 41,00 0.00 0,00 41.Ob lb OR 1 MR 271 e Z ti ♦w GUARANTOR INFORMATION wx RICKEY WALLAca 632 -SMITH STREET DENTON. TX- 76201 - - ' WALTEAO, MGLIDUA 00072397 09/1:1/02 30. 00 0.00 0.00 38. 00 SP OR 2 MR 261 2 xx GUARANTOR INFORMATION ww VIRGINIA STUART RT 2 BOX 1161 DENTON,- T%--76202 - - - - . t J WARD, BARBARA 00072421 09/04/BR 60.50 0.00 0.00 60. Sb Bp ER 1 NR 270 2 1/ fff wx GUARANTOR INFORMATION ww MARGIE WARD. P.O•BDX 15 LITTLE? ELM, TX 75060- - L WAND,4REOA L 00072462 00/03/02 317.00 0.00 0100 38,00 $p DR 1 30d 2 J -MR- ww GUARANTOR INFORMATION xx MIKE CHAFFIN 932.9 ELM APT D DENTON# TX .76201- L WAND, OREOtlnY L 00072470 09/23102 41.00 0, OD 0100 41.00 0P OR 3 MR 281 3 xw GUARANTUn INFORMATION xw MICHAEL. CHAF171N 9,190 00 ELM OCNTON, TX 76201 - - - V WASHINUTUN.CELES 00072670 10/17/02 72.00 O.OD 0.00 73.00 BP ER 3 MR 327 2 It* GUARANTOR INFORMATION wx CELOSIE WASHINOTUN SG20 nUDDELL #216- DENTON, TX- 76201 - - 1i WAIKIMAoIJAIL A 0007,151 I0/11/11.1 94 30 0100 0100 94.30 bP OR 2 MR 23.1 2 5 ~1j J xw G1IANAIIrnn INFORMATION wx HAIMLD WAIIIINS 502 U HALEY #105 IRVING, 1X 75065 WArKIN8,J110UIL A 00072169 11/05/02 99, 70 0.00 0.00 99.75 Sp En I MR 200 2 Ix GUARANTOR INVONMA710N ww JEUOJE WATKINS 1121 OANDPIPBR DENTON,-TX 76901 r i fi l i 1 M► I 'F Ot JUN I'tt1J W R 1' T C- D F r R E P 0 It T rn06 39 PATIENT NAME PAf ID U1hD110 DUO-11AL NEW-CHO NEW-PAY W-0 DAL. FC TYPE CYCLE L9T.PMT AGE FO TYPE J VIAtROV, CYNNIIA 00072009 U9/lC•/01 120. 33 0.00 0.00 129. 03 DAI IP 2 OW90/83 811 2 q4 AU.',RANTIIR INFORMATION rr RUOY WAISIIN P.D. POX 1241 DUNTON, TX 76201 - WAI SON, n HONDA K 00072076 ll/I!0/Ui! 96.50 0.00 0.00 96,50 BP ER 3 NR 193 2 wr GUARANTOR INFORMATION 4r SHL*IL,A WAThI1N COLONIAL ACRES MHP-#210- PHINATON,--'rK---75077 - - ' L WAT TO, ITIEOT1S 00072926 09/00/07. 30.00 0.00 0.00 3B.00 SP ER 3 269 2 r 1 N w4 GUARANTOR INFORMATION qq THECTIS WA'fTA 2720 MILLPOND DENTON, TX76201-- - NR Na ~I. L VlMYCGUARANTOR INFORMATION grORUARA3WAYCHOFF 70. R0 9004 0 2-1/2 MILE RD EAST ~LERSP ER a OY, M1 49001- 200 : L Na ~ _ VI MOGVARANTORCINFORMATION ww00 hPAUL7WEBD/01102 39.40 RO'1t1BOX 120 0POND9A, IX0 76209 CA l 273 2 L 262 2 t WLL70N, CVNTFIIh J 0007331e 0911e102 90. 50 0.00 0.00 99. 00 SP ER d rw GUARANTOR INFORMATION 1111 CYNTHIA WELTON 4008 REDBtONE DGNTON,-T%---76201 - WCSr,JOHNNY D 00073437 10/IV/92 43.90 0.00 0.00 43.00 SP ER 2 222 „ a it wr GUARANTOR INFORMATION rr JOHNNY VIEb7 PO BOX 2029 DENTONI- TX- 76201 - - NR WEST, SHERRY 1. 00073460 10/31/412 09.50 0.00 0.00 99.90 SP ER 4 213 2 " wr OUARAN'IOR INFORMATION rq SHERRY WEST' 910 8 LOCUST 1211 DENTON, TX 76801- NR.-_--. Lr WESIDROOK, JAMIE D DOD73414 10/19/02 118. bl 0.00 0.00 118.01 PAZ 1P 2 {t 11/9.4/82 229 'I 2 " rr OUARANTOR INFORMATION rr CHARLES J 0C91BROOK BOX 008 PILOT POINT,-TX- 76858 1v WEDION,PNANCISCO 00073510 1012010II 63, 90 0100 0.00 63.90 SP ER 4 219 2 o tr 4r QUANAN'IOR tNrORMATtON k4 RICHARD WLGIUN - AT 1 BOX 141. FRISCO, 7X -79034- WIIATLEY,CHnRLOTTCE 000'13964 1tl/1i/OE. 74.75 0.00 0100 74.79 8P OP b 01I27I93 233 2 1' ; ' qw GUARANTOR INFORMATION wa CIIARLOTTEL' WIIATI.r.Y P 0 BOX 881 SANDER, TX 76266 1%+ WIiIT0, OWAYNC 00073791 10/29/02 00. 00 0100 0.00 30.00 SP ER 4 210 2 wr GUARANTOR INFORMATION qr UWAYNC •WIIITC P 0 BOX 190 DENTON, TX74201 - .-_.ARK._.,_....._ V WFIITC, PAYE D 00073817 09/01/0P 101.00 0. 00 0.00 101. 00 'SF ER 1. 073 2 ` `ns r4 GUARANTOR INFORMATION w4 FAYE WHITE. 1029 MEADOW DGNTON, TX 762451 - ANK_.. 100 WHITE, TGREr3h 00073973 11!27/0.) 40.79 57.79 0.00 98. 90 SP CR 4 06 2 41 GUARANTOR INFORMATION wq TimEDA WHITE 313 THOMAS NO.3 DENTON, TX 76801. NR.--- - I- - tt ' Jli i - 4 W11I77EU, SIMRON 00074120 1I /82/02 30. 00 0.00 D.00 38.00 SP EA 3 191 Q Of 0UARAk7tlR INFORMATION w4 SHARON WHITTL•'p 370 W MAIM 010 LEWISVILLE, TX 79067 NR b WIGI'ALL,MAUOARror 00074.,741 I1/lt./bry n t9. 37 30,00 0100 45.37 SP ER 2 11112!02 86 2 i Nq GUARANTOR INFORMATION 44 MARGARFT W1017ALL 624 CIIAMDERS DENTON, TX 76801 NR - V WitLIAMR,DAVID L 0001,104 11011102 43.00 0.410 0.00 43.05 SP ER 4 NR 10D Q 44 OUARANrOR INFORMATION 4w IMVID WIIItAMO PO BOX 402 DENTON, TX 76201 - - WILL] ANTI, LORRAINE 00074064 09/DO/U8 78,40 0100 0,00 70.49 SP CR 3 204 Q TX. 76Q01 MR _ ur rr OVAIIAN'f0A INFORMATION 4r LOFIRAINN WILLTAMU 1900 SAM OARS x60 DEMTON. Y p . M 1 I US JUN IgRa W 11 I'T li - O F r R E P II If T PAGE .16 PATIrw (JANE; PAT II) RIOV110 REO~VAL NCW--CHC) NEW-PAY W-0 DAL FC TYPE CYCLE LOT PMT AGE PG TYPE 106 07 262 2 ; 00 14. VlwrtOUARnriH7RE1NrORMATIf7N wx00PIINONO WILt1.fAMR l4 At 29'lOMOCKINOtlIRD gENTONA17kDA76201p IMR04/82 283 2 b W1LLIr1MRON, CHAD 000741119 013/83/RI' 71 00 0RT,1300 8347 TWIN 0.00 LANES 79.DE00 NTON) 8P TX- ER 76801- NR ►w GUARANTOR INFORMATION ww JAMES WILLIAMSON W111.1NOI1AM, JIN 0 00079190 09/,"7/f3t7 10. 49 0.00 0.00 10.45 8P ER A„ 09/827/82 247 'N 2 ww GUARANTOR 1NrCIRMATION uw JIM WILLINGHAM 2107 BERNARD DENTON, TX 76201 L W1L1.S,J00HUA 000701034 00/21102 30.00 0,00 0.00 38.00 SP ER 4 MR 270 11 ,11 ww OUARAN7UR INFORMATION ww CYNTHIA WILk.fl 8432 W PRAIRIE DENTON, TX 76201 r 22E V W15110N,GLIWETH 00079891 10117"1112 70 20 0.00 0.00 70.20. SP ER 3 _ NR wx GUARANTOR INFORMATION ww JANE WU SUM DOX 971 DENTON, TX 76201 1 WILSON, OLURlA M 000'7933W)10/132 WW)10/132 91.10 0.00 0.00 91.30 BP ER 4 199 2 NR ~ - ---e t~Ill wx O1IARANTOR INFORMATION ww OLDOIA WI100N RT 4 EXECUTIVE MHP-#1- DRNTONr-7•X---76201 WILBOM,LIMUA M 00079424 11/2./02 19.00 0100 0.00 59.00 ADD bP 3 S2 14/01 201 4~, 2 ; ,,f..~ 696 FOX AVE 0104 LRWIOVILLE, TX- 79067 NA i•° r'-.-a ww GUARANTOR INFORMATION wx LINDA WILSON { W1N011AM,JAMGB r 0007D630 I^/20/0L! 23.00 0.00 0.00 22.00 8P ER I 3 Ol/11/83 163 1, ww GUARANTOR INFORMATION NO JAMES WINU)fAM P 0 POX 390 JUSTIN,-TX- 76247.- T -NR ` T S J 4 W11HGR8,6UZANNE 00079004 OU/26/07 50.00 0100 ^17.00 38.00 BAT 1P~ 4 Q//16/83 1p91~yL M ww OUARANTOR INFORMATION ww WILLIAM M W11HGR0 OPP 2 DOX 696 DENTON,-•TX • 76201 n { 2 10/21/82 261 2 y IO. 00 0.00 0100 18.00 OAT V WOULGU RALPH W C NA - - i 7 - z. 1- q I r r aw GUARANTOR INFORMATION wwpORALPH3WOOLF:Y/6 t719 JAMES NS02 DEN70N, TX-- 76701- 1 271 2 WpPDtIALI., WILLIAM R 000'76166 09/03/132' 122.70 0.00 0.100 122. 79 SP ER NR.- - • ww GUARANTOR JNVORMATION ww WILLIAM WOP~IHALL P.O,DUX 171b0 CINCINNATI, OH 00000 - - J V WRI0111,PA14ICIA J 0007b471 1110%/t)1 61. 39 0,00 , 0100 b1.30 8P ER l 206 2 i 1809 TYLER DENTON, T% . '16201. MR. ww GUARANTOR INFORMATION xw PIiILL[P WRIOH'1 Lr WRIOIIT,TAMMY L 00076939 09q/piT 91.0 0.00 °E0,00 W.00 BP ER 4 02/16/83 109 /10 + 3914 IVY, TEXARKANA, TX -76503 ' RR _ No, GUARANTOR INrb11MA71UN 00076TIN 03 10/31/017 20.0 ~'3 J %.0 YAADADUGH, CHARLES 0 0 00 0100 90.00 8P ER 4 213 2 xw GUAAAN7bR INrtlRMAT10N ww NORMAN OEIGBLGR 1204 W EULnSS 0101 E4LERS,,TX 76039 NR l YARD,TINA R 0007003 10/17/02 30.00 1 0.00 0.00 38.00 SP ER 3 227 2 ww AUARANTUR INI>ORMATION ww MARVA YAOD 89211 G MCKINNEY DENTON, TX, 76801 - MR V YOUN0,ANNE7TA 0007bO02 10/P6/02 18.00 96,00 0,00 74,00 OAT ER 4 12/14/82 03 2 ww UllARAN1OA INFORMATION wwOn(Al7b ~FT1A10 PI0111 `71' 79 7204 6 U6(NI'f1M10EDAl~LAB, T%1TO~ 211P ' 7~k01 . NR - _..1041 2 Y0010. RRIiTi N4 GUARANTOR INf ORMATION ww TIf11.11A YOUNG YUU1401 RICK W 000.103D 10/117/03 42.29 0.00 0.00 4R. 23 10 FR 4 MR PIT' 2 I / . 309 DENTON STNEET BANOER, TX 76266 - wx OUAAANTOR 1NrOHMATION ww RICK YOUNG y _ . _ .3.; t h,r r t s:l , i ~i L 01 .IUN 19U;I t4 fl I'7 F. - ❑ F F R R P 0 R T pAOB 07 PATIVNT NAME PAi III 110CIi0 OEO••RAL NCW-CNN NEW-PAY W-0 DAL PC TYPE CYCLE LOT.PMT AGE Fp TYPE 1 L' tANCIILTTAYRICHARO 00077091 IP/2?/tl2 90.79 0.flp 0.00 90.78 CO 6'R 0 0R l61 ww GUARANTOR INFORMATION ww M C EAN(:Iil-'(IA RT 4 POX 6;30 OAINEDV1LLEr TX 76240 - - 2UCRGRMANY BRANDON H 00077985 0/00/13O 34.00 0.00 D. 00 34.50 EP ER 2Q 0R Y 178 Q NFOR Xl1CfiCRMANNnBANDON HMATtON ww0007N~DGO2112/Ol/6N GB. 28 &OOg07EADLEa'~AONE N16(j'.aD8EN2PMl ER -76' 1 - 0R SOD it ww GUARANTOR 1NPORMATION ww CINDY ZUCKERMAN 2007 TEADLEY LANE 0119 DENTON, TX 76201 ~rww _ W-U TOTALS wwww 07,174.09 426,013 -3,140,04 34d460.27 ' W; ' 1. d V i I It L r~ - irfi • , J M1' `4d . M1 til r V L ~ •f v ~d 14 71 i Ul .11111 00.1 if , f( I r E- D r r R E 1 n R 1 PA08 08 PATIENT NAMH PAr ]U 1)Vt( 10 1`1I70 VAL NCW-CHO NCW-PAY W-n DAL FC TYPE CYCLE LOT. PMT AGE FO TYPE FNLINM, DLitVA.D 1 tl00IM400 07/11/++.' 4;1 '.;O 0.00 0.00 43. 00 OP ER 2' 0h61I•6ffiRSED , `i21 4 YY OUARANIOR INrONMATtnN ww I• IDANN PRONN 9629 NOTTINGHAM DENTIIIJ, T% 76901--- - V GONZALE'L,RARBARA 00000040 1.8/V9/00 39 70 0,00 0,00 34,75 9P ER 4 NON•DISPEASEO JOB 4 a wY OUANANION INFORMATION Yw JAIMC Ol1NXA1.L/ 797 0 OLD ORCHID LN 4 9049 LHWIBVILI.E,;TX• 75067 - -7- r 167 4 t l ORAIIAIb KCNMY p 000?077 IR/J01n8 30. 00 0.00 0.00 30. 00 UP ER 3 NON- DISPERSED_ wY 011AVANIUR INFORMATION ww TAMMY OHAIIAM 820 RUBE DT DCNTON, T% 76201 - GUL14RA,RAY 00077'/40 I21101UP- 41.00 0.00 0.()0 41.00 BP ER 3. 160 - 4 •W J w~ GUADAtIlOR ]NrORMATION ww RAY GUERRA 880 BLUEBIRD DENTON, TX • 76201 _,.NON-DISPERSED HALE, f10DCIl'J' 0 OODPO240 0?/OS/Itt! 117,23 0.00 _20.00 42, 23 6P lP 1 Oj~6fi,UIS~ERSEO 71 4 ~ , fJ wY Ol1ARAMTUR INFORMATION Yw CHARLES IIAL(i Pn n0% IDI LAKE DALLAS, TX 71061• ~ I✓ HARWCI.I., HA)InLD E 00030403 OD/15/nl 79. 00 0. 00 0.00 75.00 CC OP 2 •NON•DISPERSED • 747 4 f'"I`r+ 1J Aw OVARANTUR INFORMATION ww F.UCENE HARWCI.I• 460 CAROINAI. NCR DENTON,~T% 762011_ _ -•z f• V HERNANDEZ, ROBA M 00031'732 08/93/n2 100. 00 0.00 0.00 100. 00 CO IP 0 1 / 802 yt~14, ❑ J ww GUARANTOR lNFOI-lATION ww ARMANDO 11IV1NAMBrZ 338 ^411.1_ UT DENTON, TX -76201- - ;R6 [ aER$£Q,-? -.R.,1. V HnLIr]ELD,ALBERT 0 0003?7177 11/07/112 44.00 0.00 -20.Otl 24.00 DAI ER Q ~~~~SOERSEO 61 4 wt OUARANIOR INFORMATION «x CAROLYN HOLIFIIELn Q500 FT WORTH OR 061 DENTON, TX 76RO1 - aT( t yq' yl 3 V HOLLAWAY, DANNY L 00032062 12/27/82 60, 7D 0.00 0100 6U, 10 UP OP 1' 34 T 4 156 I 41 xw OUAIIANrUR INFORMATION ww DANNY HOLLAWAY 9114 UTELLA 83 DENTON, - TX '76201 ...NON-DI$PEA$,[DL 1 ;4 c'i V HOUSM14,CARLET 9 00033301 18/10101 301 00 0.00 0.00 38.00 CAI UP Q / 130 T 4 4 xw GUARANTOR INFORMATION wY CARLtJT LYNCH I201 ANNA DEN70N, T%---76801•. - - g9 j,1 L, JACKSON, SUSAN 00035279 1010018? 57.00 0. 00 0.00 57.80 CAI OP tt 1 n0~ D]/SYERSEO 936 , a 4 _ .s.. '~.a .l wx GUARANTUR INFORMATION ww DILL W. JACO(HUN 1918 0. BERNARD DENTON, -TX - 76201- V JACJISON, WILLARD J 00030JO3 12/30/Ull 09.50 0.00 0.00 891 50 CO ER 4 153 4 J ww GUARANTOR INFORMATION Yw CAROL 8CO17 617 BOARDWALK DENTON, - TX- 76;201 NDN•DISPERSED_,,,_ V JONNS, LUC ILLE 000370110 04/10/08 49,91 0.00 0.00 49.91 MC8 ER 2 oeQg//,1 /b 417 4 I v 00 OUARAN100 INFORMATION Yw LUCILLE JONER 1315 MORRO DCNION, TX 76201 - :.NDN•~SP SED , V KHE i R, MAIIA 00,030141 10+/04/118 20.00 0.00 -5. (10 15100 CO CA 1 0 / O 90 A I xw OVARAN1nR INFORMATION rx MAHA KIIF.I1( 3400 JOYCE LN APT 923 DENTON,- TX 76201 V KINUNE7,JA14AL LOOnt)703 00/in/B8 64.00 0.00 0.00 54.50 UP OP O 107 4 Yx GUARANTUR INFORMATION Yw NICY HUICHIBUN 500 0 RUDDELL 4140 BUNTON, T% - 76201 - NON-DISPERSED p 0, 00 0.00 D7, 50 ADD ER Q 3?3 4 00 O ~ ' K GUARANTOR D INFORMATION 04=10137 NOUERT 0737 Il07/l1RDY 3/OQ 87. 90 RT-1 BOX 079 MG%IA, TX 76667 NON-DISPERSED ww L0; w IER, GUA11Al1YUI1 INFORMATIO (10040090 Il//. Itm,. JR 00 0.00 0.00 no, 00 8P 1P 4 :IOt) 4 i . NON-OISPERSCU. I ✓ N wY JINRY 1E07F11 127 N, 14130K LAKE DALLAO,-1X -75068 LF.VLCK,MICIIADL 0 0004090'1 10113/09 76.00 0.00 0.00 76.00 8P ER 2 2,11 4 wn OVARANIOR INFORMATION ww VFCK MICHAEL LE 042 MELINDA DALLAS, TX 75217 - w.-.. NON•DISPERSED L'I PAGE 39 L 01 JEIN 191.0 Vl fi r IT It f P U R 7 AGE FO TYPE iJ I'A11l:fll IJAMI•. I'At III IIII;(Ijt! ❑10-UAI. Nt.W-CHO NEW-PAY W•U Oft FC TYPE CYCLE 1.0f. PMT E L, J ,r DIANA L Oo048994 01/0!1/NO 23.60 6'4, 30 0,00 47, 90 EM ER 1 NDri•D[SPERSED.. 26 4 IIAUIPN t Na GUARANTOR 1Nr0RMA7113N aN DIANA FIhLONi3 1810 WCBTMINBYER 46 DENTUN, 7X 76801 J MCCARY. PH 1901LI,AS 00044719 le/1'3/02 36.00 O. 00 0.00 36. 0(I f!D _ iP NON•DISPERSEDlbo 4-_„_-- r NM (A)AIIANTUR INFORMATION as Mllir MCCARY RT 1 LEWISVILLE, TX 70067 - - - - ' ill 4 t r4 , 41 AICOAIIC. MOttNIE, J 700001103 08/03/03 60. 00 0. UU 01 DO 68. 00 UP OP HON•OISPERSEO., NK NVAOAN'VIR INFORMATION as MUNNIE MCOADV, J 903 ALLCN 100 ,,-TX 48. 00 J . MCDAUE,TA911UNA 40019oU1 04/1G/113 40.00 0•UU 0 0.00 . Qo 9P ER a NON•DiSP£RSED..•.._.44 4 hr 606 WILSON DENTON. -T% - 76201 as AUAMN7UR INFORMATION as VALCftlfi MCDAUE I •'s• U 4 y, !'ICUONALO,LCIi A 0004520 09/112/118 41.00 0.04 0.00 41.00 8P UP 3 01 27" `r as AUARANYUD INFORMATION** DILL WfIONALO AT 0 BOX 211E ROANORE, TX 76263 d4/pg ~ 1' tICHGI^., GDNA 00041,1DL13 J i /2G/U2 34. 2'7 0. 00 0. 00 34-21 MC9 ER 4 w f10N ~15PERSED _ 187 4 as 0l1ARANTUR INFORMATION as FI)NA PtCilliC 21100 IIINRLE DR DEN'roN, TX 76201 V tICKUl.VA,ORIAN K 00041!609 05/00/02 30.00 0.00 0.00 38. 00 8P J ER S ._NDH•D]$PERSEDi_ 389 4,. i t a0 OUARANTOR INFORMATION as D21_LY fIC1<CE.VA 600 WLBTWAY DIINTON, YX-- 76201- - MILLIP1,0H MAH'rlN L 000473114 06/10/111; 56.00 0100 0.00 06,00 BP ER 3 349 Z 4' ' _ y_,t10N-DI5pPERSEDi._.,r.. r._- 2 E l Na UUARANYOR INFORMATION Na_ 8R MARTIN MILD?(( 2200 W OAK DDNTON,TX--76201 r 1. HILLER, WALTL••R I IA 00047%74 07/10/02 40.70 0.00 0.00 40. 15 ADD Y ER }.HOH•D15PERSEDa,..61 y..-, :Y J aM OEIARANIUR INFORMATION as 5M1LY MIU1111 00% 07 8AN2CHE1, T% 00000 - - ' NON-DI$P£ASED . 1,1I MUORC, AMANDA J 0OD40J 40 J I /913/0:? 411, 70 U. 00 0.00 40.70 BP ER 4 8/~Ig 1473 , 44 1 NN OUARANTON INFORMATION Na GRROTT VR]URL DO% 869 PILOT POINY•T ~X•-76258 ROOK, R80N 0.00 35.00 DAt 'iP R NDN07? k .I.GRLIE DOIDWRO 09/13/08 OD• uo O. OD •DISPERSED... Na GUARANTOR INFORMATION as I.I:OLIE RORLQIHON PO [lox DOD96 TWV DENTON, TX .76.01 11001f18.LINUA L 000501159 10/01/03 12,00 0.00 D.00 12.00 co 1P 1 1OISP RSEO" 943 4 P# GUARANTOR INFURMATttlN as LINDA 11001;118 1106 CDINDURG b5N7tlN, -11X--76201 1~p/ 1b g y 4, BCARDOROU0160IONNC J 0006096P 09/97/1)B 100100 0.00 0.00 100.00 ADD IP A Y 047 4 >3ANKAU~T v as QUARANTOR INFORMATION as BCARNOR00011 IN0 A9BC. PO ROX 50104 DENYON, YX- 76201-- v L OCILII'F.MOL1.Y A 00061994 11116182 40.00 012 CARDINAL D 14 040,00 OP Tk 76201 - - - NON-DISPERSED y+~ . ea OIIARAWOR INFORMATION as HOLLY 116YLIFF V RPLAVIN RANDY A 000636116 07/30102 30.00 0100 0.00 38.00 8P ER 4 306 4 NON-DISPERSED as OUARANIOn 1NF01(MA?ION ua OEORUtA OPLAWN 1000 DOLIVAR DDNTON, TX 76201 !r THUMPUON, PAULA L 0006746P 07/09/92 04.00 0.00 0. 00 84, 00 8P OR 2 1012 DVOR ISPERSED ryB7 _ 4 as AUARANTOR INFORMATION as RL11Y W0111 12T R DOX 429-0 DENTON. TX 76201•-NOR- 18]!!{2.1 A1.VGR1J 0007034 10/113/1111+ 94.0!1 0,110 0.00 94. U5 co DP 2 01/0(SPE0.5E0 029 4 - to (A)ARANIOR INFORMATION Pr Al VLRN 191MII1.1 1018 11104LANO OHNTUN, 'IX 76201 1 9 WILLUX,LINDA D 00074,04 119/06/012 63.60 0,00 0. 00 63.60 EP EN 1 2611 4 ra UUARANIUR INFORMATION NN RAYMUND WILCOX AT I BOX 206-LU AUDHB.Y, 1'X 76t127 NON•OISPERSED._._... y 1Y~,{„r vim....... ~Y i I Y 01 JUN 191G3 WR I"C E. -nrF R RPURT PAORx4 1,•.':,, PAT11'.P1r NAFIL %I ID DIUC110 11110-UAI. NEW-CI-10 NEW PAY W-0 UAL PC TYPE CYCLE LOT. PMT ME FQ TYPE L' YUAIWM,OAi1E R OOa/b/b0 09/10/02 74.00 0.00 0,00 74.00 ID ER 4' ;Iqq 4 ) ry~~ •q OUAOANfr)R INFORMATION qq DINAII YOAKUM RT 1 DOk 217D AUDREY,-TN 76227 HON-OISPERSEO.. .SY, ZL•PLUA, INACM 00071131 OU/n^3/U2 141.>^0 0, 00 0.00 141.25 ID ER 3. le OUARANTUR INFORMATION +u INACIO ZEP170A 2022 LOUISE 450--DENTON,- S%- 7620E - - NON-DISPERSED 4•I11 14-0 TOTALS 4. ~ OJ egMe eMgq 2, ID%. 46 -50.00_ _L~._.._L.. ..A.__'.' .;34..10 a, 161, 76 i. l 'F , 4y y - _ _ E, , ! ~ ens •j ,r V ~ 1. ' I `i t~ PAa6 41 L 'o> ,nIN i9tY,1 W I+ r' r r- n r• r' R e n o r: r TvPe } f1ATIrNT NAMC PAT 10 UWUR: IfEO-0A1_ NEW-CN0 Nrim-PAY W-0 DAL FC TYPE CYCLE LBT.PHT A0a FO 1 . n 1 ~ If1 .,S 9, 472. 99 ~3a 190. 14 wwww WRI'Ir-,OrF BRAND TOTALS wwww 480,00 361733. Dl a, All, AOL— ~4- 1~,J V Fi ~ : y J ' 01 ;IUL 1983 iJ R I, r C - 0 P P i PA06 1 iJ PATIGNT NAME PA1' ID DISCHO BEO-SAL NCW-CHO NEW-PAY W-0 DAL PC TYPE CYCLE LST,FMT AOE FG TYPF 45. -Y2e. ,_,r, W!•{ ABWIMLBHCFIT0003400 01/01/83 Y83.20 4150001) tlAKk2225DENTONZ TX 76201 Ip OUARAIJT NP 1 AHK 17/83 71 1 as A INFORMATION 44 0A3Hl0U 1801/11 4 iI BAOOSPS,NEaJRY 00003970 09/06/E2 901.75 0.00 0.00 !1..0UARANTCR INFORMATION as LE014 WILLIAMB 76201 DD IP .1 UTL... 298 S. OAK UENOON, 901.75 OAILEY,SHELLY 0 00004119 10/02/82 1,078.10 0.00 /0.00 1,078.10 ADD IP 1 272 1 '0 #0 OVARANTtlR INFORMATION/ ar SNItLLY DAILEY 827 LONDONDERRY DENTON, TX 7620 HLNA i- ~ 0LAO0,R10IN'A L 00007161 03/23/0" 592.00 0. OD 0.00 992.00 ADD OP 3 465 1 V ' as OUARANTOR INP'ONMATION as REGINA BLAOO PC) BOX 361 LAKE DALLAS, TX 75069 NR BOAT 11A?b 0111 A. 10009066 03/02/03 e66.15 0.00 0.00 866,10 ADD 1P 3 120 1 as OVARANTOR INFORMATION ra JIM A. BOATHAN 109 MASSEY 08 DJ3NTON4 T% 762201 UTL J yJ DOATMAIJ, MARY B 00007979 17/12/82 1,879.05 0.00 0, 00 L, U79. OD ADD IP 2 201 1 p.' w# GUARANTOR 1NFONMATION ra 14ARY DOATMAN 109 MASSEY k8 DENTON, TX 76201 HA BOVOHTON, 14AR IOU 00007971 07/01/02 2,235,30 0100 0.00 2,235..35 ADD IP 1 1/02/82 _ 365 1 V as OVARANTOR INFORMATION as 51 1 • - , _ RICHARD ODUGHIOIJ PO DO:f 24 BLIpELI., _TX 76267 _,.I~TL DURKHAR;IT,DAVID ALLEN IOO213I7 04/27/83 885.40 121 65 0,00 1,007 09 ADD tp J 'J 'aa.GUARANTOR INFORMATION as DAVID ALLEN BURHHARUT RT 1 BOX 17 GRAPEVINE, T% 76090 NLNA ~ 0 00011449 O7/19/L72 .541). 4,q 0.00 0.00 540.-05 ADD IP, 2 284 1 r 40 CAMACHD_ , FL OVARAN I SO O INFORMATION _ *4 on A14TONIC CANACHD 202 S CRAWFORD DENTON, Tk, 76201 MLNA j CLI(MOIJB, DEBRA A. 10001964 0:003/83 1,626,95 19, 25 0 00 1,646 20 ADD IP 3 _ V' +a OUANAIITOR INPORMAIIOFJ as JOHN CLEMONS RT 2 BOX 933 BENTON, 18 1 I r TX 76201 UTL s' COE,EBTIfI.LA 00014i83 10/24/82 3,593,79 0 00 0,00 3,593.79 ADD IP 4 230 1 as OVARANTOR INFORMATION as ESTELLA C09 ,_.2704 11 11TH,.QT FLAINVIEW,-TX 74072 UTL .I CgF'ER, NQLbA J 0001[4209 09/04/82 L 974. 45 0.00 0.00 1,974.49 ADD ip 3 L1 ra OUARAIJTOR INFORMATION au DONALD CDFEN 000 I ' - RT 3 BOX 14 TREA7gN, 7X 16234 MLNA - j M DAVl8iWILLIAM J 00011657 O9/1g/A2 577.85 0.00 0100 577.85 ADD OR 3 236 1 , as OVAAANTOR INFORMATION WILLIAFf DAVIS 642 NAOfBON or LEWrSV14LE, TX 79067 UIL r DUKB,JEBBE W 00019/17 08/13/82 837,79 0.00 0.00 837.79 ADD IP 2 322 I as GUARANTOR INFORMATION a♦ JESSE UU9V RT 2 BOX 198 ATHENS, T% 79784 HR DUNN, LAURA M 00019349 09/03182 1,327:25 - 0.00 0.00 1,327.29 ADD lP t wl, as OUARANtOR INFORMATION as LAURA DONN 3764 H10H OROVE OR DALLAS, T% 70220 OIL 301 DUREN, TIMA K _ 2 ~00019372 O4/ry 2gi02 1,412.69 0.00 0.00 1,412,69 ADD IP 4 12/b9/82 4.A j 14 as QUARANI'OR [NFtlN11ATI0N as PAT DUREN 1399 PRICE PARIS, TX % 75 79460 AHK FAIN,PEOOY 8 0002128.1 l0/18/82 875.20 148,65 0.00 1,023.85 MD IP I as GUARANTOR 1NPORMATION as PCOOY SUE PAIN 117 IJ PRAIRE OENTON, TX 76201 3 NA -09 1 ! r _ s. FEROUSON, DEBRA ANIJC 10004POS 02/10/83 1,169.00 0.00 0.00 1,169.00 ADD IP 3 134 1 0 ra OUARANTOR INFORMATION as DEBRA ANNE FEROUGON $005 If HfCKORY NE-1 DENTON, TX 76201 UTL i 10 f I 01 JUL l9D3 IJ R L 1' E U F R R E P O ft 7_ PAGE 2 a PATIENT NAME PAT ID DISCH'J BEG"BAL. NEW-CHi) NEW-PAY W-O BAL PC TYPE CYCLE LQt,PMT AGE PO TYPE r, FOYILGR, CATHY D 10007005 08/29/83 607.70 0100 0100 607. 75 VP IP 3 0"/28/83 122 1 x4 GUARANTOR INFORMATION wa THOMAS ram.f.n 607 E WILRAROER BOWIE. TX 76230, kofuled to Pe r' HARR18,TA114RA14 M 00030023 01/11/83 84.89 601 64 0.00 696.49 SP ER 2 99 1 44 GUARANTOR INFORMATION rx TA11ARAH HARRIS 1013 SCOTT DENTON, TX 76201 NR `r HARR1130% TAMMIE L 00030205 06/09/132 1,682.70 0 C0 0,00 1, 682. 70 ADD 1P 2 ONK 04/82 388 1 wM OUARANTOR INFORMATION as TAMMIE HARRISON HAMLET APTS 6905 DENTON, TX 76201. AA Lr HARSL.EY,TIIJA 000:10239 11115/8.". 1,449.75 0.00 0.00 1,445.75 iP IP ...2.... 220 1 44 GUARANTOR INFORMATION 4w TINA HARSLES' 401 IJ JOHNSON NORMAN, OK 73069 NR V_~+► MAUEWELL,Jt11MY 00042704 11/09/82 1,843.70 0100 0.00 1,843.70 ID IP 2 11/09/82 234 1 y xx IWA141i INFORMATION 04 01114V MADEWELL 1812 8 CLACK ABILENI TX 00000 MLNA MALLOW, 00042960 07/14/02 305.19 0.00 0,00 305 • CATHIE . 15 DAI IP 2 09/1 1 /99 aD2 1 4x OUARANtOR INFORMATION] a4 81EVE HALLOW 436 ORECNR100t CgPPELL, TX 79019 NR MAROVARD,RODERT PAUL 10002608 02/05/03 763.15 0.00 0.00 763.59 ADD IP 3 44 OUARAW-CA INFORMATION +a 11AROUARD ROBERT 121 DROVE ST LINCOLN Al. 02869' UTL l42 t J MASON,WANOA J 00043877 06117102 394.65 N0.090X 1798 ODENi0NS4.XS7G201..tp.._,3` 1NR20/82 079 l .y +x GUARANTOR INFORMATION x4 WANDA J HAS011 MCCULL00011iKATHY J ODD45039 Ot/73/83 1,234.45 0.00 -987.56 16.89 ADD IP 3 Oh/16/1)3 134 1 xw GUARANTOR INVOUM4VON xx CURTIS MCCV'.LpUGH 1810 MAPLE 8T OGNIt i TX 76201 U MCGAU011,LE10H A 00045468 09/1610P 1,096.05 0.00 0.00 1,096.00 13P IP 3 _ +*,.,IUANANTOR INFORMATION +4 LEIGH MCOAUGH 969 RIDOEMOfJT ALLFfJ,,T% 70002 MLNA 298 i MEEKER, LARRY 1!, ! 00046110 08/89/92 250.$0 0.00 0.00 200. SO ' ADD IfR 4 306 t GUARANTOR INFORMATION x4 LARRY MEHKUR BON 234A ROANUKE, TX 76262 UTL a PAPKrR GARY L. 40024879 05/08103 Sri. 00 155.50 0.00 8i3. So SP ER 2 42 t ',1 y sx GUARANTOR INFONMArIoN x4 OARY L, PANKE4 1900 SAM HASS 6H2 DENTON, 1'X 76201 U11 i PARK111LL,KCLLY L 00052464, 10/2^9/81 977.215 0400 0.00 977.29 8P ip 4 06/24/82 610 1 4+ OVARANTOR INFORMATION xx TOO PARY,HILL 2424 W. OAK 0114 DL[NTbN, TX 76201 NR , _ REOWULD,TONYA p 000963'90 01/02/83 I, 748, 40 0.00 0.00 14740,40 ADD 1P 1 180 1 OUARANtUR INFORMATION xx TONYA RCONOLD AT.I BOX 657-0 BANDER, TX 76266 MLNA . REONOLD,1OfJYA R 00056408 12/22/82 451.75 0.00 0.00 461.75 ADD IP 3 !7l i ' xr GUARANTOR INFORMATION xw TONYA REONOLD RT,1 BOX 657-0 GANOER, TX 76266 HL NA RICHARDB,RANDY A 000,37000 09/19/82 937.39 0100 0.00 937.58 ADD IP 3 28b 1 04 OUARANtOft INFORMATION 04 J RICHARng AT 2 BOX 237 AUBREY, TX 76227 UTL w 811 1 TH, KATHY A 0006,1360 10109182 1, 619. 78 0. 00 O, OD 1, 6184 75 ADD 1P t 267 t +x OVARANTOR lilPORMATION LARRY R VAfitlYKR 110 WOODROW LN DENTON, TX 74201 , MLNA SOWBLL.ANTHONY 40015110 04/01/03 49.00 1,21?1.00 0100 1,469.00 ADD HR 1 77 1 l 4x GUARA14ron INFORMATION rx MARK 8OWELL, JR, 117 BURL. DENT0I4, TX 76201 MLNA Yr r, , i 01 JUL 1983 14R 1 TE-0FF R E P 0 R T PACES PATIENT NAME PAT ID DISCHO OCO-DAL NEW-CHO NEW-PAY W-0 DAL. tC TYPE CYCLE 1_ST,PMT ACE FO TYPE OPARKCS, RONNIS J 00065,133 01/00/03 1,835.20 0.00 1, 467.36 367.04 CO IP 2 03/16/93 105 1 as UARANtOR INFORMATION as RONNIE 6PARKS CLAYTON ROUSE MOTEL DENTON, T% 7 6201. OIL 4, I SI'IDW,DAVID LED 40006910 02/:3/03 77, $0 1116. SO 0. 00 Bb4, OU fIP CR. 3 Dq 1 I . as OVARANTOR INFORMATION as DAVID LEO STIDOER 108 Ci RUDDCLL_N19_ DENTOM, TX 76801 UTL r-~ STONE,TDRRIC 00067409 12/13/62 848.40 0100 0.00 246.40 ADD ER 2 ~ I - 200 1 as OUARANTOR INFORMATION as T6013114 BTDNt DOX 164 LITTLE ELM, _TX_ 78068,.. MLNA KTRICKI.AND,RULAS 0 00067744 04/19/01 201.90 0100 0.00 70L 90 MIS IP 3 l0/12/Bw 603 1 aa. OUARANTOR INFORMATION as RICHARD STRICKLAND 1713 REDWOOD ORWON, TX 71201 NR - J rr, 9TRICKLAND, DEDORAH D 00067701 091141C42 1,347. 20 0.00 -20.00 1, 327, 20 Dp IP 2 05/13/63 49 1 a+ OVANANtOR INVOR11ATION as JAY STRICKLAND PU DOX 362 SANGER, TX 76266 NR STROUD,ERNRSt L 00067780 06/2.6/82 8130.03 0,00 O.OP 680 55 CC PR 4 370 1 ~F as OUARANTOR INF011MAIJON ua rnt7C8T STROUD n RT.O DOX ROL ACORN RANCH OCNTON, TX 76ROINR ~ 00 BTUONSCKI,CATIIV 00067916 02/.^•.3/62 3100,00 0221 79 -1000 DR37DENTTON, 36201 NR/06/6J gar 1 a as OUARANTtlR INFORMATION as RAYMOND STVUIJICKI TX - SUTTON, SHERYL K. 40011390 03/15/63 120.70 414.25 0.00 030,00 ADD ER 3 50 1 as OVARANTOR INFORMATION as SHERYL K. GUTTON 1036 WIDMERE LRWISVILLEr TX 79067 .'..,..UTL.... TA«LUR,PHYLLIS K 00066074 09/21/02 3,094,20 0100 0,00 3,094.20 ADD IP 3 11/16/09 263 1 OVARANTOR INFORMATION as ROOCRT TAYLOR 1212 JOHN801I DENTON, TX 76201 UIL THEORINLT,LAWRENC'E A 00069104 06/30/L12 2.5.00 0.00 0,00 825,00 ID OP 4 366 1 a0 OUARANiOR_1NFORMATICN ra LAWRENCE THEORIIIE RT fl DOX 121-I4 TYLER, T% 75709 NA r TIDOALL,DARCY 000691391 07/4 V 9/82 1,446.20 0100 0.00 1,446,20 ID OR 4 12/09/82 337 1 a♦ GUARANTOR INFORMATION aa PHILIP TICDALL 2012 CINDY OENTON, TX 7620.1- %w R TIVt9,CY14THIA 0 00069760 09/26/02 2,610. 50 0.00 0.00 2,613, 50 SP IP 4 09/17/07 401 1 ~ as GUARANTOR INFORMATION as JAMES TIVIS a✓ h O DOX .1790 DENTON, TX_ 76201 NR _ TLEID, 1101 IAMMFO K 00069773 09/23/82 1,467, 00 0.00 O. OO 1,467.00 ADD IP 3 281 1 y!, as GUARANTOR INFORMATION as 11DHOMAI) TLQ'tR AVE E N204 OEI1TONr T% 76201 )TL TRACY,MITCHE1.L 000701:8 10/22102 7R. 75 1,089.90 0.00 1,102.60 ADD Eli 0 1 V f as OVARANtOR INFORMATION as MITCHELL TRACY 44 3 SIELLA Nt41 UENtpN, TX 76201 MLNA USSHRY,WILLIAM H 00070987 09/29/92 833,63 0100 0,00 933,63 MCO Ip 4 10/UA/92 307 ~I as OUAAA14TOR INFORMATION as WILLIAM USSERY P.O. DOX 311 KRUM, T% 76249 NR `II~ VE90INo JUSEPINA 00071,149 09/06/07 06D,60 0.00 -30, 00 039, 60 9A1 lp 1 03/00/83 115 1 l,r V aN OVARANtOR 1NFORMAtION as JOSE VERDI!! 1025 RAMEY CIRCLE DCNTON, tX 76201 NR 40 r WAONEN,DENN10 00071903 11/29/02 569.00 0,00 °20.00 549 00 ADD IP 4 03/04/03 119 1 { as OUARANTOR INFORMATION as VEN1418 WAONEN RT R DOX 129 AUORCY, TX 76227 WIN I' WARD.911FNDA 8 000724UY 09/09/N2 246.07 0,00 0.00 246 07 (JAI IP 2 10/25/02 296 1 as OUARANIOR INFORMATION as KE.NI&'t)l WARD p0 DOX 272 DENtON, TX 76x01 00 UTI, Ills, 40 w 1 Wr..W 4.O . JUL i9p3 - w e PATICNT 146I1E Phi It) UIGCHJ 1380°llAL NF.W -Cl,_«..,.....A,-p,_-~..«°.rygr~...-..,.. r...y„•...,.~w-M1,1R':r , q'F jw: J9 NF.IJ-f'AY W..q RAL 'C FYPE CYCLE LOT, PMT AOE FO TYPE y ......~.W_. ,y; ; WARP, BRENDA b 00072447 Ol/0/83 49.75 0.00 - 173 1 . GUARANTOR INFORMATION ww RT2bU'( 237 ARGYLE, T% 76«M6 UTL y WARD,4RENAA 8 1 40027450109/18/83 0 00 19. 75 BP an Z 82.20 0.00 0, or) 82.20 8P !:R 4 CRSP +w OUARANtON 1NFORNAIJON ww VENDA 8 WARY 43 1 y - - - 1119 NORMAN DENTON, TX 76201 UTL 'o WARP,KENN6TIJ V 00072488 01/30/83 38.00 0.06 0.00 30,00 8P ER 4 I52 t +w OUARANTOR INFORMATION ww HICHr1HL C14APV114 PO BOX 27,1 DENTON, TX 76201 UTL y y WARD.KENWRTH V 00072496 04/16/62 89.50 0.00 ~ 0.00 89. 90 SP ER 3 488 1 y / i ww OVARANTpR INFORMATION l1ICIJAEL CHAFFIIJ PC BOX 274 OENhTN, TX 76201 - -....-UTL _ _ ,0 WARD, KEIJNETIA V 40000949 O2/02/83 83.25 0. 00 0.00 G3,25 8P ER 3 148 1 ww OVARAN'fpR INFORMATION F + KEFIIJETH L IIARD P.O.OOX 274 DENTON, TX 76201 UTL_ ki-3 WARE, AAIJOY C _r 10093663 OU/83 1,769 42 701 •-1,412 N08 33 353.09 ADD [P 3 09/04/83 58 1 ww OUARANtpR 1NF'Dfti9AiI0tJ aw BANDY C IJAREARE , THE COLONY, T% IJtlpDRUFF, SHERRY 00076042 08/08/82 2, SO% 45 0.00 0. 00 2, 907. 95 A46 _ P Q BOX 163 PILOT PAINT, T% 76258 79067 MLNA,_- OUARAtJTOR INFORMATION SHMY WOODNUFr IP 2 MLNA 327 1 ~ rww+ _ W-0 TOTAL4 +wq+. V9,110.96 -4,67D.90 4,343, 34 S8, 778. 60 10 y 10 _ J ` . Ii ,w 01 JUL 1903 , wr1 I rE: -oFr IikrohY PATICNT IIAME PAr In DIsCI-(9 nF.O-DAL NE14-Clio HCW-PAY W-0 DAL VC IYPE CYCLE LUr.1,111 AOri rO TYpC 1 (,1 VIELD8,DRANOIE K ~400089I4 , 03109/113 43.00 7,06. 79 0.00 249.75 BP ER 3 by 2 I as OUARANrOR INFORMATION CANOIE FICLOU P.C. BOX 934 ROANCKE, TX 76.62 UTL L FOUTCH;JEGOC 00022839 11/24/02 99.79 0.00 0.00 99,79 ID ER 4 2f9 2 _ lelI IW+ CUARANrOR INFORMATION ~a CARLR34E PoUTCH P 0 VOX 93R PILOT POINT, T% 76298 OAMONS,WILLIAM (RILL) 40026973 05/16/83 94,00 0.00 0.00 99,00 Bp EA 3 43 2 GUARANTOR INFOMIA110N a4 WILLIAM (DILL) OAMONS 1314 EAGLE 023 DENTON, TX 76201 UTL , f i OARC IA, MAIIVAL 40009449 02"IV.0/83 38. 00 0. 00 0, 00 313.00 3p ER 3 as OUARANTOR INrORMATION as IjAiIUA~ 130 Z GARCIA 1 A 27I LARC M/82 308 VOYD E N, T% 76:01 UTL I'A+JBENr JD0EN4 0000..71.T4 11/079/8 { ~ I .63 0 0.00 0 0.000 0 300. 63 1141 Sp 2 12120/8,2- 234 2 OVARANrCR INFORMATION as CN DO"( 399 LAKG DALLAS, TX 79069 NR J HANSEN,KARAN J. 40000303 02/01/8J 87.10 0.00 0,00 87.10 ADD Ep f 3 147 ~ as QVARANrOR fNrOkMATlgtl as KANAIJ J. HAW5EN 200 CORONAOp 4209 bEN1UIJ, T% 76201 MLNA HAWKINS, DILLY 0 00030969 I I/30/82 911,00 0, DO 0.00 94.00 MO op 4 213 2 1 ✓ as GUARANTOR INFORMATION as CLARA TUCKF'A 1820 RUIIDELL 0116 DEIJTON, 7R 76201 MA ~I ~E I HEND511901 , TAEVOR L 00031310 32/03/:32 137,29 30,00 0. 00 179.29 81, ER 1 V ar GUARANTOR INFORMAIION an TREVOR HENDERSON AT, 3 BOX 104 FRIBCU, TX 7DO34 ~ NR 96 7 HICKIIAN, JUSTIN 8 00031989 OS/1l/N3 6A. 90 4,00 0.00 64,90 BP ER.~ 14# OUARANrOR INFORMATION 44F 171 2 ELAlIJ6 HICK1110 AT 3 FRIBCD, TX 7y034 NR ; 1IMMANAG, RRETY A. - t 40017JB6 04/10/83 40.75 0.00 0.00 ADD J. as GUARANTOR INrORMATION 44 BR(:ir A. HUGHBAIJKB TX ER 2 130 2 ✓ i - 2009 DURNTREE_ DENTgNIJ, 7% 76401 JOBE, NN'R(1 00035798 12/26/62 42.25 0. OD 0.00 42.23 BP ER 3 ra GUARANTOR INFORMATION NERU JOVE 1401 FT WORTH DR DENTIONj T% 76201 NR 187 k / JOHNSON, DANNY A 000307..',0 l0/0:1/82 P 90 0.00 .00 213. 90 AVE EA 271 40 OUARAIJTUR INFORMATION as F'RANCEq naLCnrtR 2 BO 23 0BkEY r% 7d7 NR I 1 _2 400.,0471 04/23/83 87.00 ~0.IOO14, rLM 0.00 ADD ER ` as GUARANT a♦ ~ r, J#4 ARANTOR 1NF'UNMATION ~ OEIJAE JUNES DENTON* T% 76„201 MLNA b9 2 K91.11 ER,81'EVI: 0 10009132 03/031,7 1,239. 1U 0.00 -997.68 281,44 ADD 11, 4 04113/03 { as OUARANTOu INPORMATION as STEV~t 0 KCU.C1 P. O, BOX 497 KRUM, TX 76249 79 2 UTL ~ KSMBLE BAF'NDA LEE 40008088 03/02/83 71.00 0,00 0 00 77, 00 ADD ER 3 a► GUARANTOR INFORMATION as JERRY KIMBLE 2317 It ELII 423 DENTON, TX 76201 UTL 121 2 J KIMBLEZ.KEURY 4 ` a4 GUARANTOR' INFORMATION 44 11Kt.VIN 9111OLE 23040 4 R 3 539 2 10 E Ktl4t1AL8K1 GUARANTOR 2ALDN R NPCtr11AT1ON 44 U 40 04 Sb 00/07/.3 7'!, 7J ,011 GLI1 40. 77. D 240 DENTON, 7T% A7b201~, - .._.....II I 40001 .'/3 02/06/8;! 70. 00 0. 00 0 Od 70. DO ADD ER q lye , j i A014ALD 901*1.B91, A DEBERr BANDS MOTEL 0124 100, TX Y6201 UTL ! r 1 LARGE! BARIIANA N. 40027793 03/12/83 48, 00 0.00 0.00 48 00 sp EA 3 h 44 GUARANTOR IKPOHMAtlUN a4 JOE LARGE RT f 11004, TX 76271 49 2 +sr ---MLNA..... , N..4~ru,~.yr I W R ( T [ - 6 P F tt' E-p-~k T-^_-..,,......., r_. ".,~j, . rnoE ' d f PATJENt NAME PAl 11) D1 l4CFh7 0E;-GAL NFJ4-CH0 ti fJFiJ-RAY W-0 DAI. FC TYPE CYCLE LHT. PMt ACE FO TYPE LEWIS. TAS11A L.. 40012039 03/23/63 50.!0 0.00 0100 00,10 ADD ER 4 GUARANTOR INFORMATION +w KATHY L0J19 RT s LOT .19 TWIN LAKEB MHt3 DENTON, TX 76201 UTL 100 2 , ' LILLI6,PATRICIA A 00041P91 00/r%/02^. 183.39 0.00 OUARANrOR INFORMATION ww PATRICIA LILLI5 0.00 I83.3s Bp ER 4 400 2 3776 6 T Y BT VICTDt1VILLF., CA 92292 11 I I.INTHICUf1, JIMMY R . - I 40020737 04/x3/63 27, OD 0. DO 0.00 27.00 AGO ER 4 04120183 66 2 ww GUARANTOR INFORMAtION ww JIf1f1Y N LINNFIICON 272 TWIN I.AKrt DENTON, TX 76201 ! r UTL LOVELADt', WErJDY A 000481 43 10/ 1 7 /e2 13G.00 0. 00 -3/3. 00 100.00 SP - ' OVANANTUR INFORMATION rw CLVDE t4VF.L40'f' OP 3 O4/a7/O2 63 2 J i719 BTF:Mf1U1J6 LSWI9VILl,S, T7, 76201 _ANK _ % LYNEBIVERN,L _ 400 02/06/63 4,1. 90 0100 0100 44.90 ADO ER 3 rN GVAftANt'OR INFORMATION ra NADINE LYIJ*E'~ 140 2 030 ROSE DENrON,,TX 7620 UTL,, I MADDEN,RevItJ 00042147 11/12/02 189.20 0.00 tl.D E Ss).29 ADD ER _2 w I r ww.OVARANTOR INFORMATION pa. KGVIN 11ADUfilf RT, I LOT 2 OSNTON, 'fX 762^.01 01 .31 ` J i MALDfJE,bOIRJA J I 00043000 IV/P8/D2 116.90 0 116 65 ADD ` GUARANTOR INFORMATION rr DONNA f1ALONE .OO ry 0,00 ER 4 19r 2 00 OEOATE' NORTH MHpHB9 LEWISVILLE,UTU 79067 MArmus, IIumic 40000449 02/0.^./H3 39. 00 0, r+ OUARANT'UR 1MF0RMATIUN ww 90049 11ATT9r: IJL Y I.1 BtOIJ 00 39. 00 ADD ER U l4a 8 - 2000 CT WUpTH DHIV$ NO, 70 D5NTON, TX 762fthA MAYN51,PHILIP L 001 09/03/82 J12, DO 0100 0.00 112.00 Bp GR I HA 301 rr OUAHAWTUR INFORMATION PHILIP f1A1'NC,1 ~ i 4718 SUGAR MILL 0011AS06, , TX 702eT1 ' 11COEE, KtONETH, PAY 40004994 02/19/81 60. 7U 0.00 GUARANTOR INFORMATION ww KENNETH MCGEE, RAY 0 Ob NTO1J6p 7620 3 1'x'7 2 . 60,7D 300 B ItUUUELL 41 12 DE' TK . MLNA 1 J MAAtIOp, BANOpA KAYE - 40012610 03/22/93 46.00 0.00 0100 46N00 6p 8R 3 ' GUARANTOR INFORMATION wt SANDRA KAYr MEADOR 1201 14 MAIN OLNEY, T% 76374 100 2 ME9DIPUUR,5HIRIN 00046169 01/01r63 79 0.00 74.68 OF SH 1 4 ws GUARANTOR INFORMATION rr BHIpIIJ INEHGIPOUR ,69 1126 VINE at APT 6 DENTON, TX 76201 161 _ UTL MORRIg,ANN 11 0004070J 01/t7/63 134.25 0,00 0 .00 134,20 BP ER 3 ' GUARANTOR INFORMATION r+ JAH56 MORRIS 160 1 J RO% 714 LAKE 601106, T% 70160 OR 00049x93 0TOtl9/02 66.00 0.00 0100 66.00 ID ¢N GUARANTOR 1fIFUJtMA7I~1ff ra' HARK' f1URTUIV P 0 13OK 295 PONDER, TX 76x47 2 299 . ' NR 1101 rOIL MARK L 00049r1x1 12/04/97 ww OUARANTOfI INFORMATION r+ 40. 00 0.00 0100 40, 00 Bp ER 1 MARK MORrO1J 204 2 J 1 P O RBK 200 PONDER, TX 76247 Orr,AUNGTtE J 00001039 07/27/62 69.00 0.00 RR., -40 00 , 50 ~ GUARANTOR INFORMATION 440 ANNEtIE J OTt 1917 ARKANSAS SAS A6 OAIN59V ILLQgLL4OI /p 4 04/06/93 96 2 , 1% 76:40 V OWEN, KATPn Y14 F. OOOSl936 10/16/02 f9Yh,! GUARANTOR INFORMATION 04 . ~ 0. 00 0, VO 18Y. 20 SP ER 3 106 2 J Klpif 01,' 14 Or 6 OOX 30 _ DENTON, TX 76.01 PARKER, D01414A 40020967 05/ 13/63 67. as 0.00 OR I wr OVANANTOR INPDRMATION rw GARY PARKER 0:00 67.90 6P ER 3 44 jr 1900 SAM Uh66 NW2 OENtUN, T% 76201 Mp J i} . •r , ' y/ „I, ,q,r. YMl r~} ' 1 UI'JUL IYUJ 14R I TE -•prF REnORY PAGE7 PATIENT NAME pAl' 11) DI9013 liEO--IIAL NEW-CIIG WW-PAY W--O DAL FC TYPE CYCLE LOT, PMT AGE FO tYpE r J PARKER,GARY 40034357 06/12/03 58,90 0,00 0.00 $0.40 UP 'ER - rr OUARAWOR INFORMATION *a GARY PARKER 1400 SAM OAS$ 1)EN10H, TX 76201 10 DR PARKCIII,TOMMY 0 000ti2403 IF!/?7/82 13409 0.00 0.00 134.09 Op ER 4 +4 GU`6RANIUR 1NFORMAricm w« 114LBA PAkKf_'R PO DO( 2909 DENTON, TX 76001 1144 2 UTL fEREZ,LYDIA 0 00093454 11/30/82 30.90 0.00 0.00 30,90 SP ER 4 213 2 GUARANTOR INFORMAriatf ww PETE PEHEZ 208 8 RUDDELL X97 DENTON, TX 76201 PRINCE,GUARANTOR M P 00059004 1 R12 31.79 p0 UO;( 191 OAG00 OYLE, TX 7 6206 ,EH_. .3_._.. W/ 17/(12 197 I.I r+ RAfJTUIJ INFURf1ArlOPf ra WILLIAM PRINCE r i RAISOO,MUNICA K 00099431 12/I0/02 3q. 00 0.00 0,00 3800 ADD Bk 3 MLDh I as OUARANrOR INFORMATION ar ANTONIO RAMOS 1409 NOSE DENTON, TX 76201 149 2 IIA118E OUARANrtjn Y, PAUL R 00089917 10/24/Dr 99, 75 l1ATlON a 0. 00 90 7D.29 Bp ER 4 05/ 16/8:1 46 'E r PAUL RAN5CY Rr 2 BOX 497 AUBREY, rX 76227 _ 9 2 RGEMVA14NSTOR INFORMATION r 400190ZI8 04/20183 10:1.75 69.00 0.00 17,^„75 BP ER 4 a VANEBSA RGE'CF. , ~J If w' 105 LAKE HAVEN EST LAKE DALLAS, TX 75161 I' O.TL_ EEUY,SANDRA 0 00096r^.41 03/30/E2 29,00 0,00 0.00 W9.013 BM OP 4 n R 4,8 2 ,rr GUARANTOR JNPORMAT)ON a» GREGORY REkni, 414 HAYIJEd D>`r,ErOW, T,i, 76201 IJ NR RINBHART, RUSBELL A. 40000192 02/01/03 134. 50 0.00 0. 00 114.$0 SP ER 3 14S 2 OVARANTOR INFORMATION -w 110SELL A. RIh ffART 621 N. MAIN p O BOX 541 ROANOKE T% 7626101E ROGL.ES, TONY J 4002Or".92 09/r^.2/C43 0. 00 33. 90 Bp ER 4 39 2 „ ra OVARANTON INFORMATION ww PONY J RIDDLES 431 bU 1901441 ER LEWISVILLE, TX 75067 _ -,u% . v ROOURS, LII40A L WtISU4J: 12/17/62 4D. 75 0.00 0, 00 40. 75 UP ER 3 ra GUARANTOR INFORMATION a. LINDA ROOV'RB 1106 EpfNRVRG ULrJTON, TX 76201 196 R OR OU fi00L RONALD L 00098003 O6/24/p2 71.00 0.00 0.00 71.00 lU Eli 4 372 ww GUARANTOR 1NFO71MA'llU1J a+ DONALD pOOERd P Ptl 1101 491 WEBrPARK RD LITTLE ELM, TK 790o*i j 1 RUPER,AWLR1 L 00054014 11/13/A2 314.00 0,00 0,00 38,00 AP ER 2 030 2 ! ar OUARANTOR_INFORMATION rr OODERT ROPER 9613 ROLLINO ROCK 117 W DALLAS, TX 70221 OR f J I~ ROSE, EARLUNR L. 00094063 09/21/142 10.00 0,00 0,00 18100 CO 1p 3 11/24/62 / as OUARANrOR INFORMATION ar STAFLEI' ROBE 510 FRAME . 183 2 j j 76201 F1JiON, TX - E.NT._(T.N., TX 7ypg1 NR.. _ ROBE,BTACY L 00054047 08/17/82 42.00 0. 00, 20,00 ,,l 00 ri~ TLOI 03 134 2 ra OUARA14TOR INFORMATION rr PATTY R09C PT 2 BOX Of VACATION •VJLL UP ER 3 002/19 I, 1106E, ATACY 1.. 40006066 02/22/83 40.73 0, 00 0. 00 40. 7" ADD ER 3 ww GUARANTOR INFORMATION ra PATTY PORE RT a DUX 91 DENTON, TX 7b201 118 P ~I~ • RO88,GL'rm, M 00009168 09/20/82 89.70 0.00 0.00 Sol '/0 Up EN 3 +w GUARANTOR INFORMATION ar DILLY ROSS 804 2 r 1 P O, Dflk 249 pECATUR, 'X 76234 OR i RUBH,UfLL'Y 0 00099170 11/19/p2 30.00 0,00 5.00 BV ER 2 as OUARANI'OR INFORMATION rr DILLY ROBS PC DOX 03 PILOT P.OJNT T% 76190 8 2 _ y 1 y •••--y.r wrrw +rrrrrV rw.~ ~ u ,,111, r 01 JUL IgD3 W R { T E O F F R E P 0 k T pA0$ q ~.r PATIENT NAME YA1' ID t)tOClit) S(:0••SAI. Y NF14-CI10 NkW-PAY µ•q SAt. FC TYPE CYCLE LBT.PMT 60E F0 TYPE' lJATTB, RAM' $ 40013670 03/R'G/N3 $1.79 0~ 00 0.00 DI. 79 ADD ER 4 a« GUAARANTOR {NFORMAfIUN PENNY S WATTS RT 1 SOX 362C DENT014o TX 76201 44 v ~ RLNA ~t WHEELER,SSLLY J 00073601 DI/01/L+:1 80 90 44, - 1, OUARANTUR INFORMATION SILLY WHEELER 00 0.00 94.90 $P ER 1 116 7 NT R SOX 416A PILOT POINT, TX_. . 7¢.90 .NA... v y - . ' _ _ WiLLIAMB, 0E0R06 4 4001196103/16/a3 77,70 0.00 0.00 77.70 ADD RR a GUARANTOR INFORMATION as DEMO- L IItLLIAlliS 601 PARK LAIJC DENTON, TX 76201 _ 106 _ III WOUDSY, MICHALL 40000104 0^./09,'(13 85,90 bI, 00 0.00 136.90 ADD ER ' GUARANTOR INFORMATION a+ 111CIIAEL NUODRY 3 ' UTL 141 2 r ' U'J1 TS' no rtr 1 BOX 3620 DENTON, TX, 7d$O1 pLRA. ! away w-a rat nLH «a«d i 7, IL6,4$ -I, IO9.63w i wp I 496. 79 6, 913. 60 f f W i~ ~w w ~v I: ep ~r w' C W JUL 19P3 IJRI TE -UFF R EP0R1 PAOC f0.'.._r: !IJ Phl'IL'Nt NAME PAT 11) U15Ci19 BEG-GAL NEiJ-CliQ NEIJ-PAY WU Ohl P'C TYPE CYCLE LOT. PMT AGE FO IYPE. E _ FERNOER0. Jill 40009292 03/06/83 MOO 0,00 0100 70,00 SP ER 3 114 4 04 OUARhNftlN INFORMATION 44 JIM Ff:RIJOERG FIT 2 BOX 9,19 DENTON, TX 76201...,, MISSING PACKCTS - FERRYMAN YVONNE 70001912 02/PP/R3 92 80 0.00 0.00 39. HO SP OP 3 02/413/03 128 4 00 GUARANTOR INFORMATION 04 JEFF FERRYMAN 11OX 171 JUSTIN, TX 76247 ..MISSING PACKETS kISCHCR,DIANA L 00022103 01/18/Ua 4.1.$0 0.00 0100 44.90 SP ER' 3 164 4 ~r 44 GUARANTOR INFORI1A11ON 44 DIAIJA FIS wm 1807 BERNARD DENTON, TX 76201 MISSING PACKETS FORTE,SFIANETTE K 00082616 01,'24/00 220.75 0.00 0.00 220.73 Sp IP 4 294 4____ +y 4+ GUARANTOR INFORMATION wt ItORACE FORTE 1210 NORHE DENTON TX ,76201 ._MISSINO PACKETS 4r FRANKL.114, LAURA K 000P30OU 01/t6/03 82. 31) 0. QO 0100 E12 . 30 SP ER 3 164 4 ~ 40 GUARANTOR INFORMATION 44 LAURA FRANKLIN 213 C0110146DO 0104 VENTON,,TX 76201 MISSING PACKETS GADI,JERRY V 00073768 01/,2/03 24.39 0.00 0.00 24.3D SP ER 3 160 4 a0 GUARANTOR INFORMATION a4 JEQRY 0AD1 9 COLE CIRCLE ftNUM, TX 7b249 _MISSING PACKETS C 0 1 11130N,1100 1 U 1 00099139 11/07/78 1',206:04 0.00 0.00 1,VEW94 HP Ip 3 03/03/92 697 4 , 00 GUARANTOR INFORMATION 44 WILLIAM 01II8U1l 409 DENTON ST. GANGER, TX 76266 MISSING PACKETS IIACKLER, JOHN L OOOPI:015 12/02/02 60,50 0.00 0.00 604 90 SP OF 3 211 4 ►y ua QUARANTUR INFORMATION 04 JOHNNY SR HACKI_ER P. 0. OUX 940 ARGYLE, TX 76226 MISSING_PACKETS JOHNSON.YOLANDA D 00036DO2 07/20179 99.40 0:00 0.00 99.40 MP IP 4 01/05/02 437 4 QUANA14TOR INFORMATION 04 DOROTHY 8'(CWA(4T 1126 E HICKORY DENTON, TX, 76301• MISSINO.PACKEIS MAORY,SAMU&'L C 000425VO 04/20/02 44. 15 0100 0100 144, 10 SP IP 3 437 4 4a GUARANTOR INFORMATION as CRAIG MARRY fit ,T, IIX 269 ROANOKE, TX_ 76ib2, MISSING_PMET$ MACMULLEN,JAM98 A 00042721 01/08/93 0.00 190,23 0.00 190.95 Sp ER 2 123 4 00 OUARAIJTOR_INFORMATION 4a JA11P.9 A IIACHULLBN 1360 QLRNHILL LN LEWISVILLE, TX 75067.. ...MISSING PACKETS 0 0.00 29,29 MD ER 3 09/01/02 317 4 I ri►aSQUARANTOR INFORMATION ►r00VERNIE R06SB/S. 29. 25 R 04 OUX 413 DENTON, TX 76POI MISSING PACKETS IJELDURN, TRAVIS R 00073148 O6/04/0R 519.10 0100 0.00 5191110 ID t p 1 00/03/02 392 4 a4 GUARANTOR iNFONMATION a4 TRAVIS WELBORN PO.DOX 633 JUSTIN, TX 76247 r MISSING PACKETS f 4040 WHO TOTALH 0444 2.636.94 0.00 190,25 2,SR7.19 _ III , r; 01 JUL 081 W Q Ir 1 F. 0 G F R E P U A T PAGE 11 PATIENt NAME PAt 10 D19CIII DEO-BAL NEW-CIO NEW-PAY W-0 DAL PC TYPE CYCLE LET. P111' AGE FO TYPE I i QRAGG& JEFFREY J 00063994 10/bE/g2 2,149.70 0.00 0.00 2r 149. 70 DAI IP 2 I M4/99 266 ww GUARANTOR INFORMATION sw MICNARI. SKA303 23-3 CEDAR .',AY RT 3 BULLARD, TX 78707 .BANKRUPTCY warty I4-0 TOTALS 444! 21 1113.70 0 00 W 0.00 wr 149. 70 ~1! I l~ 1~__ _ r I J V j r 1u . I v ~ •v T'1~^ ' 01, JUL 1947 W R ) T @ - 0 FF R E P O'k T FAQE 12 ~J i PATIENT NAME PAl' ID 1)16C'H9 DEO-IlAI. NF,W-CH0 !JE'W-PAY W-d DAL PC TYPE: CYCLE LST.PMT AGE FO TYPE i WRITE-OFF ORAIJU TpTAL9 4•44 71r064.tld -9x%05.17 ~ 'I r 990.7 1 70, 269. C.9 r I I ~ t' tI _ 'E i h~ . r I . I I I E;1 a s 1S b1 13 JUL 1903 CHWIIY NLOON I PAGI: J ~ J 4 PAT IrNT.............. PAT. ID,... PT FC. CUARANIOH NAMP_........... AODAE-$8 CITY.. „ ST ZIP,. DIB.Dik, AMOUIT..I„~ BAOOt.R,pAULA fNEZ [001b772 Ip Iin BAUOt=R,pAUTA fN6t 409 E. f4JLl DENTDN T% 76:101 04/08/P3 -31.79 I B,Itangga after Medicaid, BAKOR,CHARLIA 10020493 IP CO BAKPR,CHAItLEA 22(2 PT NORTH OR. 103.DENTDN.. .Tx 76201 04/25/03 -97,.06 II 199ntal Health/Mental Retardation BENSON, ALLYSON NICOLE 4002:691 ER FfU RUTIJ ENUUN ;J 24 11AI.I)EN DALLAS TX 79216 04/30/91 -26 60 Balance after Modicald, 8f86f:T,MAROARET E 0000.5866 1p 100 U188ET,11AROAiiET 2779 tlFUROETDIJN DENTDN TX 76201 12/02/81 -127.40 4 Explredl no assets, CALI)WELL.L. 1); 40029803 ER CC DENTDN COUNTY JAIL MCKINNEY ST DENTON -TX. 76201 05/27/81 -56,00 Denton County Jail 4 CALIMf-A.L., L. D. 40033524 ER CC CALUIJFY.L, C., U. DENTON CO JAIL 31 E DENtaN TX 76POl 06/ 10/83 -56. 35 Denton County Jau1• 1 CANNON, Ugf1l1.1) W. 10027815 FR CC BFIJIpH COUNTY JAIL 301 E. NCKINN£V DENTDN rC 76201 00/20/83 -104, 75 I 4 Denton County Jal1, f.i J II CAgTkR,1,AYTHFR 10019261 IP 11C CARTCR,LAYIHER 405 £ PRARIE DENTDN X 76201 04/01/83.. -Pat l0 "xplresl no assets, 4 Cl7KER, RODERT JAMES 40097807 ER CC DEIJrUH t,OIJNTY JAIL 301 E. RCKINNEY DENTDN TX 76201 05/20/83 -86.00 /-•,.j ~ Denton County CUNNINOH/,%OARAY J. 10018752 115 MO CUIJNINOHAM,?ARRY J. RT 1 BOX 90 FRISCO TX 75034 04120!83 -544.40 Balance aftor Medicaid, UENTON WILLIE 40026892 ER 110 DEIJf01J,141Lk IF 2299 CARROLL _ DEN1.015._-_ .._T1C_T620105115;01 -31 00. Balance after Medicaid, _ DOWNRY,REOINA LYNN 99001384 OP MD 00VI Y,RU1H 715 1/2 ALEXANDER DENTDN TX 76201 03/00/93 -31.49 Balance after Medicaid, DUNNEY, AUTFl M 00018937 EH SP DOWNV, T 715 1/2 ALEXANDER DENTDN 1B 00 - ' Balance after Medicaid, J Court order, T% 76201 Ol/06/83 .109 1 FkiJtN,RICKY 10027084 ]p CC ERIIIIJ, R ICKY 317 RUDOELL DE'.NTf2N , 10, I ; 6 PLAOINS,MACK J, 400:9795 ER CC DENTDN CUUNTY JAIL MCKIN14EY 9T DFNTON TX 76201 05/27/83 -105.00 ~'Denton County Jail, _J FULLrR,81LLY STFVF. 10017606 IP MU FVLL.ER,CYNTHIA 2421 LOUISE 03 _ CBNTON TX 76IIJ1 04/11/93 -31.00 V 0ALSN00 REOINA 1 00023929 IP IU) 0AL114p0~a11EOINAe1 Medicaid. 512 RAILROAD AVF , . DRNION _..__TX 76201_O1/31/83 -45 00 Balance after Medicaid, I J OAMMON N/JJCY L 00024018 IP SP AAM,ioN,JAMLS pT 1 BOX 1286 FHISCO T% 75034 03/05/82-4n0,.,74.76 Indlgant care, 4 OURS, ANDREW AARON 10003.141 IP 110 CORE, HA.41LOU 17920 AUl1ELIA. M237..._ DALLAS Tk 76R40 07/06/83 { Balance after Medicaid, a„ ORCATHOV9E, 14ANDA D 10001485 IP 110 GAVATH0118E, i7AMDA, 0 1502 LAT I IMORE DENTDN TX 76201 02/03/9.i -40,00 J Balance after Medlcald, ORIFFfiH,IRILDRED C 00027334 ER MD ORIFpIJH,MILDHED 872 IJORTH WOOD DENTDN T% 76201 Of /25/83 -i100 ' V Balance after Medicaid, BLIDELL SLIDELL TX 76;747 03100/93, -13.63 HOCKARAY,ALVIN W 70005339 OP it0 I1gCKAlJA1',ALVLN W BOX 25 Balance after Texas Rehab, to JACKSON, CHARLOTTE A 10023504 ER 110 JACKSON 01ARLOTTE A 304 8 HUUDEIL 993 BOX DENrON T% 76201 05/01/93 -13.00 I`f CalAnce after Medicaid, I KILI.CREASE,WILLIAM B 00018240 IN SAI TX,PLIV0.COMMI9910, 1213 N. LOCUST DENTDN TX 76801 10/11101 -301.87 } W Balance after Texas Rehab, MAIER!DONALD F 91,100)327 OP EP M400-H,OONA1 1) F 914 00LVAIR OT DENTDN TX. 76201 03/31/83 _-80 74 1 Balance after Texas Rehab, rr MARTIN LAURA K, 10)11971 IP CO IV,nT1N,LAURA K. P.01 BOX 1151 OAI1496VILLE TX 76240 03/15/83 -143.34 J Balance after Texas Rehab..., V J ~ J J I 17. 19 ;1,- 11 JUL Ig1J cwftII PiLr'noi Nn0l• r^. t„ HATIHEN . PAI. 10.... PT f'C, OOkD UalencRLEtler Medicaid, 020PROBERTSON. DEN10N TX 76201 0111&/193 n11CU22. DO HATTIiENS, THOMAS 0 00044172 ER 110 V MCI.ELL.AVp C1111HIA 1' 00045781 1P r,nD OIL.!., Tri, 206 S HATCH0 LNISVILLE TX 75067 12/04/SY -176. 79 J Balance after Medicaid, MILLER, MARK 10020345 IP IIn HILLER, SUSAN 3304 RUSTY TRAIL COLLKYVILLr TX 76034 04/23/83 -26.90 J Balance after Medicaid, DENTDN TX 76201 05/02/83 412 50_ 'i 110ROAN, A7RIENNE NICHE 400?3211 FR 110 IiVROAN. DIANA entan F Jail. 719 JACKSON 4, Balanco after Medicaid, ISULL,DARIlI 40027'297 ER CC DEMON COUNTY JAIL 301 L. MCKINIIEY DENTON T% 76201 05120/83 56.00 0.0 County de _ NIIJK9TUN,CAROLYN J. 40025777 ER MO PIIJKSTOR,CANCLYN J. 312 RUDD£LL N112 DENTDN T'% 76201 01/72/83 -63.00 60 Eprllen a gftar Medicaid, J RAMSEY,TENRY 0005553'7 IP 110 Rl,MS6~,IBM e4 WHIPPOORWILL HILL LBWI$VILLE_.TX 73067 !1/15/87 , Rt'6.07 ~ Ir REEpEN,OLEN DUN 10021780 IP CO AE£02:'H,l8 rr6e A!~ W Medicaid, BOX 1237 LAKE DALLAS TX 75049 05/07/03 -531 19 Balance after Texas Rehab, REXpY,NICOLE M OW,6767 Er) SP REEUY,DINA 112 LPXINOTON DCNTDN T% 74201 07/09/83 -in, 00 61 Balance after Medicaid, PRICK KATHLEEN 11 00056434' IP 110 CUlirr_LAB,JEAN PT _3 BOX 54 ROANOKE TX 76262 S1/09/Sa''_ -11.00 _ Balance after Medicaid. V SLOAN,IIVOH 19014975 IP ItC SLOAN,N'JOH 2229 CARROLL BLVD DENTON TX 76201 03/29/97 -9 00 f Balance after Medicaid,_, TURUER,ROSALIE 10005072 1P 210 1'VNIVR,RO9ALIE 1 DENTON - TX 16201 02/16/63 -26.00 I 4 Balance after Medicaid, TUR124R, ROSAI.IE _ 40005,190 ER 14C TURN,-A, ROSALIa RT, 2 LOT .4_ _ AROYLE TX_.76226.02120/83__....-26, 00 Balance after Medicaid, b VAL642UELA,40RENA 70000401 OP CC VALEN7.UELA IJARCUS PT I _ JUFITIN, _T% 76247 02103/83 -175,00 Indigent care, VANDPHORIFF,MARY 40016034 RR 11,1 VA1gVRR0RIPr,MARV 2500 HINKLE DRIVE DEN DENTON TX 76201 04/05/83 -10.00 Balance after Medicaid, _ 1• VANDERORIPP,MARY 40015384 CA MC YANDERORIPF,MARY DENTOII OOOP SAMARITAN DENTON TX 76201 04/t4/9a V »tl 30 Balance after Medicaid, iI WARR, ARTHUR J )0072593 IP SP WARE, ARTHUR 1126 WILSON__ DENTON, TX_76201,12/07/83,-31 659.10. naceasedl no assets, r WARE, ARTHUR J. 10027191 1P SP WARE, ARTHUR J. 824 14ILGON DEMON TX 76201 05/24/83 -1,990.15 WARRErl, Du,.cvsedl no assets, - - SHIRLEY , ALLY 0 0007265,11 IP 110 IJARR7exas Rehab, AT 7 BOX 32 MAVHIIL R DEN10N T% 76201 OS /09/83 -2,5x4.90 ~ Indigent care, WILLIAMB,IJILL16' 70007521 OP 5P WII.LIAM9,WILLIAM 1"%09 HILLCRE9T GAINESVILLE..,__TX 76240 04/26/8:7 I' f v WOUDF,UNiUHM4Tr1IC C. 400163x.2 En HD 8I!{S,CLEOPATRA 1014 8 HICKORY DENTON TX 7622201 04/09/03 -13 89 / Balance after Medicaid,. I~ a °I v J 1 r✓ J i l { tr , j FLOW MEMORIAL HOSPITAL BOARD OF DIRECTORS MEETING TUESDAY, MARCH 29, 1983 11AR 2 4 1983 7;00 p.m, MEDALLION ROOM AGENDA I. Review and Approve Minutes of Previous Meeting it, Old Business A. Receive Report from Jack Young, Hospital Receivables, Inc on Collection Procedures B. Receive Report from Terry Lewis on Collection Procedures C. Receive Report from Texas State Department of Health on Life Safety Code Survey 0. Any Other Old Business III. New Business A. Review of Committee Reports 1. Finance Committee--Mr, H11z 2. Foundation Board--Mrs. Williams 3, Safety Committee--Mr, Watson 4. Quality Accountability/Utilization Review--Mr, Watson a. Consider Approval of Revised Utilization Review Plan B. Report from Medical Staff--Dr, Alvarez 1. Consider New Applicants a. James Terry Temple, M,D. b. Gary Hankins, M,D, c. Daniel Strickland, M.D, d, Garrett 0. Smith, PA e, Janis Smith, ORT 2. Consider Reappointment Applicant a, David W. Price, M.D. 3, Any Other Medical Staff Business C. Consider Renewal of Emergency Room Physicians Contract, D. Any Other New Business E. Executive Session to Discuss Personnel Matters TV, Adjournment e 1 M BOARD OF DIRECTORS MEETING BUSINESS MINUTES Dale March 29, 1983 P,91'. 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7;00 p,m, on Tuesday, March 29, 1983 with the Chairman, Mr. Wyatt, presiding. { All Board members were present. Present; Present for presentation only; Mr, Ralph Havenhill Mrs. Wilma Fritz John Shell Mr, George Hilz Mrs. Gloria Madewell Jack Young Dr. Don Holt Mr, Leonard Watson Terry Lewis Mr, Brad Moore Miss Holly Hervey Mr. Dan Trammell Mrs. Margaret Lester Mrs, Mary Williams Mr. A. E. Wyatt APR 2 $ ,oo~ The minutes from the previous regular meeting of February 24 were approved as presented. The minutes from the March 3 called meeting were approved with some amendment, Old Business- Report from Collection A enncj--Mr. Jack Young and Mr, John Shell from Hospital Receivables -'Service, Inc, were introduced. At the request of the hospital, Mr. $hall had surveyed the Admitting and Discharge Department, the Insurance Department, and the Credit and Collections Department with the following findings and/or recommends- tons, Admitting & Discharge--Enter admitting information dirsctly into the computer instead of taking it from a paper copy and later entering it. insurance Department--Complimentary comments were made about its efficiency. Recommended securing a written verification from insurance companies. Credit and Collections--Mr. Young stated that this department needs improvements. Recommended using a systems analyst to determine what reports and tools are available on the new computer. Recommended using a work card/work sheet to record vital information on each account. Recommended training the employees regarding effective collection techniques, Recommended establishing collec- tion procedures, Recommended staffing with only 3 collectors and 1 clerk, Mr. Young stated that for the fee of $250/day for two days, his services could be securred to train the employees and establish procedures. Report from Collection Agent--Mr. Terry Lewis was introduced. At the request of the hosp a , Mr. Lewis surveyed the same departments with the following findings and/or recommendations: Recommended using a ledger card system. Recommended sending original (not pre-printed) letters by series to past due accounts. He noted that presently the procedure is to not send letters to accounts less than $500, Recommended getting more personal information on patients, especially Cmergency Room patients , including the name of the patient's parents, Recommended using an express promise+ to pay form which would be signed by the responsible party, Recommended using a i guaranty forms this would not be necessary, however, for a spouse or minor child, I even adoptive child. Recommended cross-referencing patients, possibly using one identifying number per family. In answer to a question from Mr. Moore, Mr, Lewis suggested that the Credit Bureau Service could be another effective tool in determining the credit-worthiness of the patient upon admission and later in locating "skipped" accounts, Mr, Watson recommended asking Mr, Young to provide the training sessions and review of procedures for the employees in Credit and Collections for two days at the cost of $250 per day, When asked about the current number of employees, he responded BOARD OF DIRECTORS MEETIMr BUSINESS MINUTES oeM rah 29, 1983 .''Page that there are currently six full-time employees, including the director and one full- time clerk, Mr. Havenhill moved that the Board approve the recommendation of the Administrator to secure two days' service from Hospital Receivables Service, Inc. This motion was seconded and passed by the majority vote of 4 for and 2 against, Mr, Moore suggested that at the end of two months, if the collections problem has not,improved, consideration should be given to hiring a finance director who could be responsible for the Business Office, Insurance Department, and Credit and Collections. The Administrator agreed to try to help the Credit and Collections Director in the meantime. Financial Report--Mrs. Fritz reviewed the financial statements for the month of - February, a note that the average daily census had been 106,2 patients per day, producing an operational profit and an excess of revenue over expenses for the month of $110,239 and $59,153 year-to-date, The balance sheet reflected an increase in recelvables of $239,000 and an increase in liabilities of $45,000, In order to bring accounts payable to a 60 day or less situation, she stated that $440,000 would be needed, She suggested using the $250,000 certificate of deposit and the $225,000 balance on this fiscal year's County contribution for the purpose of decreasing accounts payable to the 60 day or less status. She explained that currently accounts receivable is at 93 days. She attributed the current accounts payable situation to the computer conversion by Medicare last May and June which caused the payabies to stretch beginning last August, The Administrator stated that with the $440,000 re- duction in accounts payable, the situation should be under control, unless collections decrease, the census decreases, or ex enses increase. An additional safeguard to the situation, however, he explained is the increased implemented in Central Supply charges, which should increase that department's revenue by 25%; the increases in x-ray charges; and the increases in Laboratory fees by 10%. C The revenues and expenses of +m-patient care departments were reviewed by the Board. The Administrator stated that he monitored each department monthly to make sure that expenses and revenues are ,lot out of line, There was further discussion regarding the loss in the Home Health Service; this will be reviewed further at the next meeting, The Bad Debt List in the amount of $108,131 and the Charity Charge-Off List in the amount of $28,903 were reviewed. Accounts payable was further reviewed, Miss Hervey was asked to detail the j amounts due by months. She responded that all accounts are paid through November, 1992, Remaining accounts are as follows: December, $179080; January, $260,153; February, $314,531; in addition, March bills will be due in two days. Sha explained that the cash available is currently $46,000, not including the CD's of $254,0001 $60033 in a reserve bond account, and the balance of $225,000 due from the County for the remaining of this fiscal year, Mr, Havenhill moved that %he Board approve the Administrator to use the CD's totalling $250,000 as collateral to borrow $250,000 from First State Bank at the interest rate of 12% and then to utilize these funds to pay the oldest of the accounts at the discretion of Miss Hervey. This motion was seconded and passed with ,only one opposing vote. Mr. Havenhill also moved that the County be asked to contri- bute the balance of the funds due this fiscal year, $225,000, as soon as possible and explain the need for the funds, There was no second to the motion, however. The Board members discussed talking to the City Council and County Commissioners about the financial needs of the hospital--specifically the cash flow situation, the need for a professional office building, and the need for some building modifications, There was agreement that this information should be presented to the City and County. BOARD OF DIRECTORS MEETING _ BUSINESS MINUTES Date March 29, 1983 Pege3 Foundation Report--The minutes of the March 24 meeting were presented and reviews a only action taken by the Foundation had been to approve the usual bills for the gray scale ultrasound unit and CCU equipment. Dr. Holt moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote. Safety Report--The minutes from the March 4 meeting were presented and reviewed. The,A m n sci 1 trator outlined the activities of the committee, The Report was accepted. quality Accountdbility/Utilization Review Report--Mr. Watson reviewed the minutes from the March $ meeting, e noted that a representative from the Texas Medical Foundation had addressed the committee regarding the new regulations for utilization r review, Subsequent to this, a program has been planned for the entire medical staff on this subject, The revised Utlization Review Plan was presented and reviewed. Mrs. Williams moved that the QA/URC Report be accepted and that the revised Utilization Review Plan be approved. This motion was seconded and passed by voice vote. Medical Staff Report.-Dr. Alvarez presented and reviewed the minutes from the March`M` Medical Executive Committee Meeting, He presented five new applications which had received the recommendations of the Credentials Committee, the Medical Executive'Committee, and the clinical department to which the individual is assigned. Those applications are listed as follows: Active Medical Staff: James Terry Temple, M.D., Anesthesiology Courtesy Medical Staff: Gary 0, V. Hankins, M.D., OB/GYN Daniel M, Strickland, M,D „ OB/GYN Allied Health Professional Staff; Garrett Smith, PA, Physician's Assistant for Dr. Kelly Janis Smith, LVN, CST, Physician's Nurse Assistant for Dr, Kurrus Additionally, an apps tion for re-appointment from Dr, David W. Price, ENT, was presented and review Dr, Alvarez reported that the Medical Executive Committee had recommended the following regarding the new hepatitis B vaccine for employees at Flow Memorial Hospital: 1) Provide at no charge to nurses and respiratory therapists a screening test for anti HBc a-d anti Hes; any other employee would be offered the screening test at cost approximately $7), 2) If the result of the screening is negative anti HBc, vaccine would be offered at cost (approximately $110) to the employee, Hepatitis B vaccine would not be recommended for employees who are positive anti HBc. There was also a rocommendation to allow Dr, John Cuchia full admitting privileges to the Neonatal Intensive Care Unit, Mr, Havenhill moved that the Medical Staff Report be approved, including the five appointments and one re-appointment, the recommendation for Hepatitis B vaccine, and privileges for Dr, Cuchia, This motion was seconded and passed by voice vote. Emergency _Room Contract--A renewal contract from Dr, Bridger P, Little to continue to provide emrgency p yT`s c"Tans on a 24-hour per day basis at the rate of $34.00 per hour was ppresented, The Administrator recommended that the contract be renewed. Mr. Haverhill moved that the Board renew the contract as presented; this motion was seconded and passed by voice vote. j BOARD OF DIRECTORS MEETT 7basedupon UTES Doe -March 24 taAt a.a. 4 ter Vending Contract--A renewal contract with McAllister Vending Company scusse`d . Rrr, Watson recommended that the contract be renewed service, Dr, Holt moved that the Board approve the r enewal; onded and passed by voice vote. he Board members were invited to attend the traditional brunch in y from 7:00-10:00 a.m. on the next day, The meeting was adjourned at 11:00 p.m. for Executive Session to discuss personnel matters. At 11:05 p,m., the Board of Directors met in Executive Sesi;ion pursuant to Article 6252.17, Section 2 (g) V.A.T.C.S. The Board of Directors reconvened at 11:40 p,m, The Board members individually' expressed their concerns to the Administrator regarding his job performance and the overall or more specifically aat the next resonded to the meetings hisperformance his to be re-evaluated to see what improvements have been made. The Administrator was also asked to notify the Board when the County funds are received so that the Board can make the decision as to how to spend the funds. The meeting was adjourned at 12:15 a,m, r Dan Trammell Secretary gm BOARD OF DIRECTORS _ BUSINESS MINUTES - Dale Pe q• 2 Mrs. Fritz reviewed the monthly financial statements and operation of the hospital. She noted that cash collections had improved with 93'5% of revenue for the month of December having been received. The month of December, however, produced an excess of expenses over revenues of $79,612. She stated that the three main causes for the loss are a decrease in census, an increase in gas and electricity costs, and the increase in the allowance for bad debts. She was asked to comment on the actual number of days in accounts payable, and she estimated this amount to currently be at 75 daysi The Administrator commented that while the hospital has shown a loss during 'the first three months of operation this fiscal year, it is expected that the month of January will re-coup the losses due to the increase in census. He stated that it is difficult to reduce staff in low census periods because they will be needed when th census rises; therefore, theme is some increased costs during the tow census for personnel costs. He did state that there had been a hold on any hiring of new employees for tho past month. The Bad Debt Charge-Off List in the amo~,,t of $106,636 and the Charity Charge-Off List in the amount of $61,228 were reviewed, Mr. Havenhill r moved that the entire Financial Report be approved; this motion was seconded and . passed by voice vote. Charge Master--Thr; Administrator reported that the charges have been reviewed with `price increases already submitted to Blue Cross for increases in the areas as suggested by the iuditors. The new rates when approved should increase revenues approximately $38,000 per month. There was also some discussion concerning the viability of a multi-tier pricing system. Mrs. Fritz stated that such a system might he costly and difficult to manage, The Administrator suggested an alternative-- i.e., considering changing the Medicare intermediary next year from Blue Cross, F.Qu_ndation Report--Mrs. Williams reviewed the minutes from the January 13 meeting of the Flow Foun adt on Board of Directors. She reported that the following officers were re-elected for another one year term; President, Mr, Walter Lea; Vice-President, Mrs, Lou Nelson; Mrs, Mary Williams, Secretary; and Mr, W. C. Orr, Jr., Treasurer, Home Health Committee--The November 30 meeting minutes of the Home Health Commi elo were prawn- e`c3`and reviewed, The Administrator outlined the program evaluation for the service's first year of operation, He explained the services available through Home Health and the increase in census. He also noted that since its operation, the average length of hospital stay for Medicare patients has decreased Mr. Havenhill moved that the Board of Directors accept the Report from Home Health Service, including the evaluation of the first year of operation, Safety Re ort--The Administrator reviewed the minutes from the January 7 meeting of thee Sa ety ommittee, He explained that the committee had reviewed some 51 inci. dent reports for the month of December, Mr, Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. _unlit" Ac_co_untabil_ityv/IJ i_lization Review--Mr, Wat$on explained that this commit- tee ha been restructured to include quality accountabi ity activities and utilization review reporting, He reviewed the minutes of the committee's first meeting for the new year. He explained that the activities of this committee will be more important this year with the changes in Medicare reimbursement regulations. Mr. Moore moved that this report be accepted; this motion was seconded and passed by voice vote, Medical Staff Report--Dr, Alvarez was welcomed as the new President of the Medicalfa "anT7Iaalso for officer to the Board of Directors, He reviewed the minutes from the January 17 meeting of the Medical Executive Committee, to which all members had attended, He stated that additional information had been received from Dr. Sidney Roth concerning his training in surgical procedures; however, since he had not requested the appellate review within the specified time length, he has since waived his right for further appeal on this topic, Therefore, the information was filed with r li..l. i. it I I BOARD OF DIRECTORS_ MEETING BUSINESS MINUTES ~ oaia January 20, 1983 ~ ~ P,9, 1 The Board of Dirrectors of Flow Memorial Hospital met in regular session at 7;00 p,m, on Thursday, January 20, 1983 with the Vice Chairman, Mrs. Williams presidin . in the absence of the Chairman. Members present: Also present; Mr. Ralph Havenhill Or. V. R. Alvarez Mr. Tony Franzen Mr. George Hilz Mrs. Wilma Fritz Mrs. Margaret Lester. Dr. Don Holt Mrs. Gloria Madewell Mr. Cameron Shaw rc0 2 8 1863 Mr. Brad Moore Mr. Leonard Watson Mr. Dan Trammell Present for audit presentation; Mrs. Mary Williams ~ Mr. Larry Rayburn Member absent: Mr, A, E. Wyatt Mrs. Janie McCally The minutes of the previous meeting were presented, reviewed, and approved, 4w Business: Audit Report--Mr, Larry Rayburn, from Peat, Marwick, Mitchell and Company, presen a an reviewed the audit report for fiscal year ending September 30, 1982. Ile explained that the report represented an unqualified, clean opinion. Some of the highlights he noted were an increase in accounts receivable from the previous year of 83 to 96 days, an increase in accounts payable from the previous year of 65 to 90 days. There was an excess of revenue over expenses of $509,319 for the year, or a 4► % return from revenues,, Mr. Rayburn stated that a better average would be a 6% return, He outlined the recommendations in the management letter in the areas of bad debts, lease agreements, contract services, computer system, rate structure, and new governmental legislation. He suggested a diagnostic review of the bad debts and offered that his,company could provide a consultant for this service at a cost of approximately $51000-$10,000. Ile suggested that increased rates be considered for the Operating Room, Labor and Delivery, Physical Therapy, and the Emergency Room and/or possibly a dual tier pricing structure, He stressed the importance of care- fully reviewing the new legislation under the Tax Equity and Fiscal Responsibility Act of 1982 since it will Impact the reimbursement from Medicare and Medicaid. Anotha new regulation under which the hospital is already being impacted is the reimbursement for average cost per discharge, based on the previous year's charges plus an inflation factor. Mr. Hilz moved that the auditor's report be accepted; this motion was seconded and passed by voice vote, Financial 'a~o~r_t--Mr, Franzen was asked to explain his procedures for collecting self- y ccounia an' accounts with balances after insurance. He explained, He explained that the Business Office personnel do a good Job in collecting such accounts in which they come in contact, His procedures are to personally-oither himself or his collectors--notify each patient while in the hospital who may fit in such categori s, Before the accounts are charged off to bad debts, calls are made to each account, letters are written to each account--all unsuccessful, The accounts are then charged off and either turned over to two collection agencies or to an attorney for preparation of Judgments. All bad debts are reported to the Credit Bureau either through the outside collection agencies or by his personnel on a manual basis by fillinn out forms to report to the Credit Bureau. Mr. Franzen was asked if he needed additional personnel to improve the collection percentage; he stated, however, that he felt that three was sufficient, especially with the programs which are planned with the new computer system, There was also some question about the benefits of hiring an outside consultant to study the problem of bad debts; no decision was made on this recommendation of the auditor, .-.•t,.61? •..m.a.on r, .r u.. Iii .nq•gn,i BOARD Or DIRECTORS BUSINESS MINUTES oaf. January 20, 1983 Pag,_-a action necessary ;,r taken, A request for additional privileges from two internists h been referred to the Department of Surgery for action. Applications from the follows individuals were presented with the favorable recommendations for appointment from the Credentials Committee, Medical Executive Committee, and the appropriate clinical de- partment: Edward Velayos, M,D., Active Medical Staff, Arthritis/Rheumatology Gerard E, Baislay, Jr., M.D., Courtesy Medical Staff, OB/GYN Jerry L. Darker, M.D., Courtesy Medical Staff, Radiation Therapy Marc Q. Morris, DDS, Dental Staff, General Dentistry Boots Cooper, M,D,, Reappointment to Courtesy Medical Staff, Internal Medicine and Cardiology Dr, Alvarez explained that Dr. Cooper's application for reappointment was tardy; how- ever, It had been recommended favorably. Mr, Moore moved that the Medical Staff Repo be accepted and that the appointments be made by the Board as recommended by the Med- ical Staff, This motion was seconded and passed by voice vote, Mobile CT Scanner--Mr. Watson reported that a request to waive a hearing has bee submitte to tie Texas Health Facilities Commission on the certificate of need for the mobile CT scanner. Two vendors, Trans-Share and First Texas Medical have also sub- mitted to the THFC requests, He stated we could receive the service faster if we woul allow one of the vendors to be added to our request for waiver. He recommended that First Texas Medical be allowed to do this on the basis that they would provide a more qualii ed radiologist to interpret the scans. Both vendors would provIdo the same equipment and both would have the some charging system, Mr. Hiiz moved that the Board authorize First Texas Medical as the vendor for the mobile CT scanning service for Flow Hospital. This motion was seconded and passed by voice vote, Anesthesia Coverago--The Administrator reported that the Medical-Surgical Clinic has employe an anost eslologist, who would like to become the Director of Anesthesia Services at Flow Memorial Hospital and provide MD and CRNA coverage for the hospital. Such an arrangement would exclude the currently hospital-employed CRNA's but would allow for the MD anesthesiologists in private practice to continue working at Flow whenever so requested by the surgeons. He stated he felt such a service would strengthen the service at Flow and would also save approximately $180,000 per year in salary expense now budgeted for the CRNA's. He stated he had met with the President of the Medical Staff, the Chairman of the Department of Surgery, and the Chairman of the Department of Obstetrics and Gynecology who all approved this arrangement, subject to an interview with the new anesthesiologist and his assurance of certain criteria. The Administrator asked that a decision on this matter be tabled until after the anesthesiologist arrives and a formal recommendation is made by the physicians. The Board was in agreement to tabling a decision. Intent to Purchase--The Administrator presented a letter from First Texas Medical in wh.c+`fi'was n ca a an interest on their part to purchase the assets and operation of Flow Hospital, The Administrator ex iained that such a proposal is to be presented to the Denton Commissioners Court and the Denton City Council for their action. No action was taken by the Board of Directors on the letter since they would not have a vote on the matter, This was discussed, however, so that the Board could provide their individual input to the city and county officials if asked to do so, There was no further business, and the meeting was adjourned at 9:50 p.m. C Dan Trammell, Secretary gm Ala FLOW MEMORIAL HOSPITAL BOARD OF DIRECTORS MEETING THURSDAY, FEBRUARY 24, 1983 MEDALLION ROOM 7:00 p.m, AGENDA FEB 8 i983 t~~, I. Review and Apoove Mintues of Previous Meeting 11, Old Business ne III, New Business ,e A. Review.df~t00mmittee Reports I. Finandt Committee--Mr. Hilz 2. HomeiHaalth Committee--Mrs, Peggy Fogle a. Consider Approval of Policy and Procedure Manual b. Consider Approval of Contract with NHIC for Administering Medioaid Program for Home Health services 3, QualipF,Accountability/Utilization Review--Mr, Watson 4. Safe* Committee--Mr. Watson B. Report from Medical Staff--Dr. Alvarez 1. Consider Approval of New Privileges for Two Physicians 2. Any Obkor Medical Staff Business C. DISCUSS Propose? from Peat, Marwick, Mitchell RE: Credit and Col Iectionsr 0. General Dithussion Flow Hospital E, Any Otheo) New Business IV. AdJournment i f BOARD OF DIRECTORS EMERGENCY MEETING FLOW MEMORIAL HOSPITAL THURSDAY, MARCH 31 1983 7:30 p.m. MEDALLION ROOM AGENDA Ia DISCUSS proposal to Purchase Flow Memorial Hospital II, Adjournment 1 1 A , NONE= ti BOARD OF DIRECTORS MEFrING BUSINESS Mi NUTES oafe FebT^ 24 Pega -1 The Board of Directors of Flow Memorial Hospital met at 7;00 prm, in regular session on Thursday, February 24, 1983 with the Chairman, Mr, Wyatt, presiding, All members were present. Present: Absent; None Mr. Ralph Havenhill Mrs. Mary Williams Mrs, Peggy Fogle Dr. Don Holt Mr. A. E. Wyatt Mrs. Wilma Fritz Mr George Hilz Mrs. Gloria Madewell Mr: Brad Moore Dr. U. R. Alvarez rte- Mr. Dan Trammell Mr, Leonard Watson I The minutes of the previous meeting were presented and approved. New Business; Financial Reorort~--Mrs, Fritz reviewed the operations of the hospital for the previous month:- Average daily census was 94 with an excess of revenues over expenses at $83,488, The Bad Debt Charge-Off List in the amount of $99,706 and the Charity Charge-Off List in the amount of $8,000 were reviewed, Mrs. Fritz reported that patient cash received for the month had been one million dollars. She noted that the computer conversion is almost complete and remarked that the McAuto personnel had been very helpful and cooperative during this conversion, Mr. Hilz moved that the Financial Report be approved; this motion was seconded and passed by voice vote. Rates--Mrs, Fritz proposed that semi-private room rates be increased $10 to the r rate o 135, as well as increased in the Emergency Room fees, Delivery Room fees, Operating Room fees, and anesthesia fees. She explained that the incruases had been recommended by the auditors. Mr. Hilz moved that the Board approve the increases; this motion was seconded and passed by voice vote. Home Health-Mrs. Fogle reviewed the progress made by the Home Health Service since s ncep 'ion in October 1981 and reviewed the Policy and Procedure Manual for the department, She explained that there has been a drop in Home Health census apparently due to the opening of a new home health service by First Texas Medical, Inc, Ways to increase census were discussed, as well as steps to take to decrease e the xpenses in the event the census continues to drop. She reported on the progress of CARS Ialert ncludingpthee proram. be approved; this the motion was seconded and passed by voice vote, NHIC Contract.-The Administrator proposed that the contracts with NHIC (National Heritage insurance ompany) be renewed to provide reimbursement for Medicaid for both the hospital and the Home Health Service, Mr. Havenhill moved that the contracts be renewed; this motion was seconded and passed by voice vote, QA/Utilization Review--The Administrator reviewed the minutes from the February 8 meeting Of the gUalityACcountablllty/Utilization Review Committee, He outlined the committee's activities and explained that the Utilization Review plan is being revised to comply with new regulations. Mr. Havenhill moved that the QA/Utilization Review Report be accepted; this motion was seconded and passed by voice vote. { Safety Report--The minutes of the February 4 meeting were presented and reviewed, as welly o summary report of 42 of the 46 reports. Mr. Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. Medical Staff Report--Dr. Alvarez reviewed the February 21 minutes of the M decal Executive omm eel e` explained that the Medical Executive Committee recommengs ..v ..au ♦...i a lip n.u.~n .1 •Irn r. . w.. BOARD OF DIRECTORS _ BUSINESS MINUTES Del? February _ 24, 1983 P?g° approval of the requests from Or. Spencer and Dr. Qureshi to perform implantation of permanent pacemakers, Approval was based in part on the favorable recommendation of a review committee composed of internists and surgeons, Dr. Alvarez stated that the Medical Staff at their meeting on February 22 had opposed the proposed changes in the Joint Commission on Accreditation of Hospitals Standards which would change "medical staff" to "organized staff," A letter has now been sent to the American Medical Association, American Hospital Association, the American Hospital Association, the Texas Medical Association, and the JCAH opposing this change, Mr. Havenhill moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote. Mr, Hilz moved that the Board of Directors approve the additional pri- vileges as requested by Dr. Spencer and Dr. Qureshi, This motion was seconded and passed by voice vote. r---1 Proposal /Accounts Receivable--A proposal from Peat, Marwick, Mitchell which had been requested by e oar o rectors to investigate and make recommendations for improving accounts receivable was reviewed, Approximate cost of the study would be $10,000. The Administrator stated that he would not recommend acceptance of the proposal; rather, he stated that the solution to the problem would be to become more selective and restrictive on admission of patients to the hospital, Some Board members expressed concern about the increase in the amount of bad debts and the decrease in the amount of recovery of bad debts, Mrs, Fritz, however, reported, that I the percentage of bad debts to revenues has decreased since 2977, The Administrator was asked if the collection policies as approved b the Board are followed, and he answered affirmatively, Mr. Watson was asked to check with other similar hospitals to ascertain their percentage of bad debts to revenues and to report this information back to the Board at their next meeting, In the meantime, if the comparison shows that Flow has a significantly higher percentage, he was asked to begin considering solutions. The proposal from Peat, Marwick, Mitchell was not approved by a majority vote of 4 to 2. The Board suggested that a letter be sent to P MM stating that the proposal was not at this time accepted; it may, however, be reconsidered in the future, TAHGB Conference--The Administrator announced that the Spring Seminar of the Texas -7~ssoc at on o ospital Governing Boards has been scheduled in Austin for April 6 and 7. He invited any Board member to attend the conference at the expense of the hospital. Reservations are to be made through Gloria Madewell, Proposal--Copies of a proposal from First Texas Medical, Inc, to purchase or lease ow ospital which is to be presented to the City and County,were distributed to the Board members, The Administrator explained that the copies are offered for the information of the Board, They were reminded that a joint meeting of the City Council and Commissioners Court has been scheduled for 7;00 p,m. on Tuesday, March 1 in the Council Chambers; the purpose of the meeting is for the City and County to receive First Texas Medical's proposal, The meeting has been plane ^d for the presentation only, with no comments scheduled. Some of the Board members commented that they had been contacted by either Councilmen or Commissioners regarding the proposal; the Board of Directors as a unit, however, has not yet been asked to make any comments or responses, The Chairman suggested that a called meeting of the Board might be necessary following the presentation so that recommendations could be considered, if so requested. There was no further business, and the meeting was adjourned at 9;40 p.m. Dan Trammell Secretary gm ,n,.q•Al6 ni•u,"ern.. rn Ur.... f~,W r ,w if ,it Y,L 1 BOARD OF DIRECTORS CA' 'D MEETING BUSINESS MINUTES Oita -=-=-March 3 1983 The Board of Directors of Flow Memorial Hospital met in special session at f 7:30 p,m, on Thursday, March 3, 1983 with the Chairman, Mr, Wyatt, presiding, He \ announbed that he had Called the meeting to discuss the proposal pFirst Texas Medical, Inc, to lease or purchase Flow Memorial Hospital. were present, g11e8oerdbmembers Present; Mr, Ralph Havenhill Mr, Dan Trammell Mr, George Hilz Mrs. Mary Williams Commissioner Wallace 8atey Dr, Don Holt Mr. A @ Wyatt Mrs, Wilma Fritz -~I Mr, Brad Moore Mr. Leonard Watson Mrs. Gloria LMadewell Dr, R. MI Lockwood, ockwood, , Presi- dent-elect of Medical Sta f he hadreomeltoctheameetingntonlearntthe Board'snopinion about dthed proposal p to msell that hospital, Each Board member expressed their individual feelings about the proposal, and Or, Lockwood expressed his feelings and what he felt were the feelings of the majority of the medical staff, The Board of Directors took no action nor made any recommenda- tion on the matter. In view of points raised in First Texas Medical 's proposal, the Administrator recommended the following: 1) Invite the Texas State Health Department, Hospital Licensing Division to come to the hospital and perform a life-safety code survey-.at no charge. 2) Cooperatively with the City and County, employ an independent consulting firm to review any deficiencies found by the Texas State Health Department and provide cost estimates for repairs; request funds from City and County to make any repairs, 3) Consider one ownership of hospital with taxing district. 4 Review accounts receivable--bad debts and charity, 5 Review the charge/rato structure for any adjustments. Mr. Wyatt recommended the following: 1) Request a life-safety code survey by the Texas State Health Department) If repairs or structure modifications are necessary, solicit at least three bids, 2) Concentrate on continuing the operation of the hospital. Mr. Havenhill moved that the Board approve the use of the Texas State Health Department for thtt life-safety code survey (free) with a report to the Board of Directors at the;llarch 24 meeting, plus a report of estimates for any indicated repairs. This motion was seconded and passed by voice vote, Mrs. Fritz reported that she had contacted six hospitals (with two not yet responding) concerning their percentage of bad debts to revenues, The following information was submitted by Mrs. Fritz: r (,1 Wichita General Hospital 5% charity 6-7% had debts Gainesville Memorial no charity-.billed 6% bad debts Texoma Medical directly to county Texoma Memorial 74.8% combined bad debts and charity':; ? 5% charity 8% bad debts .++Il, ll lbr...N ..11.15 Il ll, n, r F "'YNGNaI1F 4 Y' BOARD OF D EC S C L.'_ 'LMU_1~ BUSINESS MINUTES Dafe v- -~~MdPG}~~98__ Page Mrs. Fritz stated that she disagreed with the auditor's recommendation regarding any problem with accounts receivable. However, she recommended that a collection-oriented consulting firm be employed to evaluate the situation with possible training capabilitl s. The Administrator stated that he had contacted such a company, Hospital Receivable , 1 Inc, This company could provide a one-day in-house review of the operations at a cost of $250; for approximately $750, the company could spend one week, A motion was made by Mr. Moore to approve the one-day site survey by Hospital Receivables; the motion was seconded and passed by voice vote, Additionally, the Board asked that a representative from Hospital Receivables be present at the March 24 meeting and report the findings. It was suggested that Mr. Terry Lewis, who is currently handling some of the E accounts, be asked to duplicate the survey and make his report to the Board at, the March 24 meeting. This was approved by the Board. Mr. Moore stated that he felt the hospital could benefit With the installation of a Credit Bureau computer and suggested that Beverly McGoo be contacted regarding this. There was no further business, and the meeting was adjourned at 9;30 p.m, ti C, J J Dan Trammell Secretary gm - AS i .r IMr A.111A I ; ir _~S,~.N I( i' , rd 114! 1.airuro,unle le 41 V. I,t11111 11I r/r111111;`' €i 4 13:22:38 08 MAR 1903 CHARITY REPORT PAGE 1 t' PATIENT' PAT. 10.... PT FC, GUARANTOR NAME...,...ADDRESS,.,....,..,... CITY..,..,,,., ST ZIP,. DIS.OTC. AMOUNT... NNE 4 AtlAMB,JbHN H 00001180 IP CC ADAMS,JOHN 819 SKII NiRgent care. DENTON TX 76201 01/14/83 -814,85 I! ~ r--~ AOAMS,JOHN 11 00001198 IP CC AOAMS,JOHN 519 SKINNER DENTON TX 76201 u1/08/83 -2,973,99 Indlyont care, J ADAMS,JOHN H 00001206 ER CC ADAMS.JOHN 919 SKINNER DENTON 7X 76201 01/14/83 -92,00 indigent care. 1"f b - ADAMS.JOHN H 00001222 ER CC ADAMS,JOHN 819 SKINNER DENTON TX 76201 07/28/82 118.00 Indigent care, ERTL,SANDRA D 00020677 ER CC DENTON COUNTY JAIL 218 C, McKinney tv NI Jp1 DENTON TX 00000 01/17/93 38,00 OIBBS, MARY E 00029080 OP CC 01009, MARY 1600 VI4el.Tk8R Co Ef~~T' O1 bENTON TX 76201 12/20/82 -40.00 HOFFMAN,KARL W. 40000341 ER CC OETNTON COUNTY JAIL E. MCKINN VIParo. DENTON TX 76201. 02/01/83 -84.00 County Jail, JUAREZ,DAVED CRUZ 40001729 ER CC DENTON COUNTY JAIL E. MCKINNEYyyEIT 1 DENTON TX 76201 02/07/83 -94.79 LUNSFORD,RENES C 00042341 IP CC LUNSFORD,RENEE 724 DRIFTWOOD'4A'IL DENTON TX 76701 10/21/02 -2,039,60 j J Indigent care. L ROBERTS.MILDRCD M 00057990 ER CC RODERTD,HDMER 904 BASSWOOD MANOR AP LEWISVILLE TX 79067 10/09/82 -34.40 " Balance after Medicaid. ROSERTS,MILDRED M 00097968 IP CC ROBERTS, HOMER 491 FOXDatAVE ence after MedicaEld~~VILLE TX 79067 l0/20/92 594. 90 4 ROBERTB,MORRIS 00097904 ER CC ROBERTS.MORRIS 348 BIRCH LEWISVILLE TX 78067 01/17/83 39.79 i' .J Denton County kRUM DHRUM,DOROTHY L 00062069 iP MCS eHRUM,WILLIAM J OOX 31 TX 76841 12/28/82 -13.3 11111-Burtan criteria, TX 7620 TIDBALL,Dk PHILL[P C 00069609 OP CC TIDBALL,BR PHILLIP 2012 CINDY LN DENTON 1. 10/90/82- 22-13.66 ~ Balance after Texa s Rehab, VANDERGRIFF,IRA L 00071209 ER CC VANDERGRIFF, IRA fOB 9 RUDDELL 816 DENTON TX 76701 12/19/82 -te.00 6 Balance after Medicaid, (j J VANDERGRIFF,IRA L 00071217 ER CC VANDERORIFP,IRA 9O6 8 RUDDELL 016 DENTON TX 76201 12/22/82 -90.00 61 Balance after Medicaid. I WISE,HOWARD 00079794 ON CC DENTON,COUNTY JAIL 219 E MCKINNEY DENTON TX 76201 Ot/21/83 -44.29 Dento3l C Jail. 1640 WR10HT,LARRY 00076440 IP CC WRIGHT.LARRY UNKNOWN Dalanceefter MontelILOT POINT a1 R t 76258 12,20/82 -44..90._.....] s 2B,gD2,el . J JiJ 1r a•. ~I ' y 1 T• 110 MI ;91 ran 19e-1 u,~n Pi 111 uu11c-arr. RFPUaT Pnbr1 I 1. Iv~l Llfl3'f.. PAT. 11).... 1'1 f'f PU f'11ArII'NTUl ` HAHC...... UIINNANTOR-ADDII. GUAR, CITY..... $T 0-ZIP 0I8. DATE CVR. CAL.. I ALL 10HA1, YArhlirr 0000271:! UP UP P `.RII..TAN ALLIDI-JAI 1,015 111DIDECRC9T D6NTOIJ TX 76201 07/19/02 69 10 - No responso to collection efforts. L 7d.L 1:30111 VC81 F:11 I1 00006(041, ER 11C'-1, i 9L81F_H 1.1 ALLISULI 401' ri HILL [If 2 U0X r^^. PILOT POINT TX 7629U 04/20/92 109 5?5 { 1 J Balance after Medicare, At.'ris R, JCIL Ir: 11 000074!11 If' DA) i 503IT D ALTER 100P. CDMOND3 LN 111,54 LVWISVILLE TX 79067 04/16/02 459 d1 No response to collection efforts, II,,J AMUrJ,JO.11WIN D 0000:1.'1') En '3P I DIT)IIIIE AMOS 86'.0 C CONGRESS:. DENTON TX 76'01 04/25/02 1,'.!22.40__.. j Unable to locate, L AIIOCIItltlhL RAI'1DY R 00000 704 li' OP 1 RANDY H APIUC{iSUN 11'3 tIART 11J 9T LE411 SVIl.I_C T% 79667 05/19/02 4,030, 95 I J No response to collection efforts, 6101011,A140EI.A 0 00nM+-190 CR ADII 7 DONALO ARMOR UNIVERUI7Y CITY APT 1 DENTON TX 76201 07/30/92 30.00 t- Unable to locate, AIIMFTROMU,EVALYN IP ADII 2 ALVJN I)AflL'Y 25 LIVE OAK LAME DALLAS TX .75065 07/11/96! 446, J0 .._..I'j No response to collection efforts 1.. AVAN"f, HDI%HT OtIOV.0' 0x' I:ir IIODVIlT AVAPIr 1020 SCOTT 11ENTON TX 7601 07/30/02 78.50 I1 J No response to collection efforts,. j UARNI'S,UEUMAH 0000ID64 EN 81 V OfDONAII DAJINEU II1~1 111".1214NPH NACHIDOCIIE9 TX 00000 01/20/92 39.00 No response to collection efforts. I.i OAILD,DAVID 11 00000074 IP API) 1 DAVID DATES Al 4 DOX 4099 PERARLAND TX 77581 05/02/02 707.70 ."..~'I No response to collection efforts 1. DEAI.I:",CL.LrSA L 00005249 1P UP J 1)IiM1:a. DCAI-F 2500 RODCLAWN I)MYON 7X 7001 07/23/02 1, 470, 75 No response to collection efforts.- LICMNE:T'L DARIIIM W OtltlO6064 i{' OI'' 2 rtITA REMNEI'r 710 N CRAWFORD DCNTON TX 76201 07/'9/02 231. 00 i ~ Unable to locate, I ) Fir NNEI"LRIYA C 00006106 If, :31, 1 u1 TA 0EPN4ETT 102 hM'VEY DENTON TX 76201 07/,7 2/82 3,006.08 No response to collection efforts, }4 t.. UE12OrM CHARLES E 00006;'47 IP 51' 1 C114MILE8 OEROER PO MY ?663 DENTON TX 76201 09/24/0,7 1,077. 35 efforts, DF.:NN}lAllfYf, Lf[Sl.1L A 00006!'76 1f :,;P 1 L1. S No response to collection L.IE PERMANDT 1104 MULMRVY LN 104TON TX 76201 06/32/02 1, 912, f It No response to collection efforts j (IM10P JANICC 0000676'i IP OI' 1 IDHIIN, 111SHOP R1 2. Cx1X 113 AROYLC TX 7616 09/20/112 3,279, S9 No response to collection offorts. A DLArli,VICHIE 00007047 IP DAI I DILLIC JOHNUON &NO VcXAS 3T DENT ON TX 76201 00/23/01 1,374, W7 No response to collection efforts, RLAND,orrmA M 00007306 OP Hb V nGl'tl'CCA OrwEN TROPICANA IN14 I;lb DENTON TX 76801 07/16/02 74.29 No response to collection efforts. J UL,ANfUN,fHIL1,IP }I 00007443 IP '31' 1 P111Lt.IP 11LANT1314 113LI 10WER RIDGE RU DENTON TX 76201 08/09/132 8,187.15 ...,,j.~., No response to collection efforts. %w UOULDIN,MILURLD E 00007997 1V M) 1 II111VILY L6 DOMI)IN n't I IIOX 15 D RHOME TX 76079 07/21/D2 742, 31) I i J No response to collection effa'ts, _ DOULDIN, MILUfIED C 00000003 UP 8P I! 1IAI39-.Y LC DOULUTN FIT I DOX 15 D RHOME TX 76078 06/23/92 25. 00 kw No responso to collection efforts UOWL6.!b,1'IARLLY JHL. 00008131 IF, DAI U MVII,LY 811 1313141.[9 214 4741 ELT COX 334 JURTtN- TX 76247 07102/8'?. 100,00 No responso to collection efforts, V MILLD,SIILLIA ODOOOI/7 ER bl' 1 LIARLEY 81l 11014LE6 DUX 594 JU9TIN TX 76201 07/24/01 781.90 No response to collection efforts. . _ _ p, DIIANCH,C,11M.l.V U 000006,19 IP 1.11, 1 I.UCY CHUWN 9?,9 HONTERRAY UUNTON TX 76201 07/19/x37 1,414.20 , No response to collection efforts, UIIWADU5, DCUCLA3 U 000Ur)2'70 IP IU 1 DrAmLA8 OnOADUS 200 RUDDELL ART 04 DGNTON TX 76201 04/29/08 1, 078, 15 M No response to collection efforts. b HIM30N,LOlt1 L 00010410 IF, ADD l p 2P 1. .1L1lIIY RRVtlUN ,.f2 V'T WORTH DR II'/ 0$111'011 TX 76201 07/82/82 1,3711.35 JJ II No res onse to collection efforts. D1112O1CK,RUlI1N Il 00010640 IP DP I LLUYD BURDICK R1 L LOT 0 MOYLE TX 76886 07/06/02 892. 10 j No response to collection efforts J I, l„ I l 'i0 l rt :11'1 1' 111 19111 110,11' 1a 11 r III)rrr CII'r - nr..PMI(r Pr111 E'er' J V )'R"I iror. I'A r. ID. 1'1' 1'('.. 110 CUr1RANTCIR-NAMI'... 01 JAPAN TUR•-ADOR. GUAR. CI Ve, ST 0-7IP 1)1H. DATE CUR. DAL . CIIILD11M.PLINA1. U 0001;300% IP 91' 1 IIOMALD CHIL.DF:119 111 f3 '1017 MEADOWS UAx DENTON TX 76201 051071U2 9,612.20 No response to colloctlon offorts, CLAIM, P1.'PINY L 0001J474 11' 6I+ 1 I11CIlY CLAIM !§91 molmA3I01C LEWIS91LI.f:: TX 75067 06/17/62 1,'744.00 He response to collection efforts. CUL91UN, 11RLJCL R 00014730 Fit 11) Hrn_1b\N COLSTON 9?12 FT WORM D11 M117 DENTON TX 76201 07/26/O2 79,00 J No responso to colloctlon efforts. CRAVEN, RI M,] I AI_ 0 0001.0%60 W (i1' 1 DANNY CRAVEN 301 6 3'fATE DECATUR TX 76234 03/30/B2 1,068.90 No response to colloctlon efforts, I, J (:1'1 Ui1GRi CLAItA 00016105 1P ')P I L111_L,'/ 1.A110P,FIT R'I' 3 MIX LB9A CAINEOVILL.E TX 76240 07/167112 1.150. 93 UIMI(E,L,8I1A1lON 0 00016707 II' IIAI I U011DY DALIML No response 11 to 11 MIX ~ooofforts. PILOT POINT TX 7 6290 04/30/82 2.973.70 J DAVita JO1.11PIr2 W 0001749) IP r}r, I UARLLI4E A DAVIS 0 response 11000 WELL lien efforts, UENTON TX 76901 07/23/D2 6194 00 s No response to collection efforts ODUNL.CY~ JEUOE R 0001006( OF IIAI Lf JESSIE DUUMLEY 1020 TLASLEY LANE 1170 DENTON TX 76,101 07/20/02 40. 00 1. OhEW,LUFt1N C 000190,14 IF OP 1 1'11171- HOLMAN No response CAfiMI''Ir efforts. rt WORTH TX 76119 06/29702 ,2,'730. 73 BI1NN, 0F'T'f1I 000172171 11' OP I. PL"fTl_ DUNN NO response P t0 3CBOX C31O efforts.- LAKE " DALLAS TX 73065 07710/02 L, 672. 60 No response to collection efforts, DUNN, VAN1199A 0 00019:356 ER W, 2 VANI139A DUNN 319 017ItJN1E DRAG DENTON TX 76901 06/17/02 116. 00- i No response to collection efforts. I1' EUIIDPJ,RC1U55VELT 00019069 IP GP 1 RUDSCVLL'r Ii0110IJ ,750b LOUISE #208 UENTON TX 76701 04/123/02 9.291 20 f J No response to collection efforts, CIA ISM DARLCNE L 00020112(7 IP 9P 1 f(ODLRT ELL.IS PO DOX 042 RDANDIIE TX 76267 06/307T12 1, 21o f10 . No rospmse to collection efforts. J k:NUCFb CIIRIH"1 LC h 00020511 It' SO J 10RrtY ENOCH PT 1 BOX 6200 IIRUN TX 76249 07/05/n2 036, 40 No response to collection efforts, 4 FAlFLP8LJ0Y S 000 1279 OP :7i' ? PI'-001' FAIN 417 W PRARM DENT ON TX 76201 00/329/011 134, ti9 , f Arrangements not kept. FAIN SHELLIA R 0002129D ER Ann P 'SIIIILI.IA FAIN Una PT I BOX 199 AUDRCY TX 76227 10713/82 134. R3 Unable to locato, J PArMELL, IACKIF 9 030211) 19 FR 511 0 JACIIIC FARRELL 3404 010SON DR THE COLONY 7X 75056 09/25/02 103 Do No response to collection efforts. FEAOINS,PAMELA ODU A117(, EIl SP V PANFELA FFAOINS 309 411 140111) DENTON TX 76201 06/01/S2 44 00 - No response to collection efforts. FICLOS,LAOHUNI)RAL 0002701P I'IJ L3P 2 AL 10C rIELD9 ll..l I. ITICMORY DENTON TX 76201 09/14/02 49.79 C: No response to collection offorts. J rLURL:0,U1117NDA it O00?1733°] 1211 ADD V MAHVIN ORCEN RT. GOX 560.. AUURCY TX 76827 07/d1)/82 71.80 Unable to locato, j. r'U6rLR,S1IEILA 1( 0002n7O0 C.R UP 'P OrIIALD F'0BTE11 RD 4 DL)X 56 DENTON TX 76201 00/21)/tl$ 67, 50 .J No response to collection efforts, f'OU1CH, JEMNIrLR N 00=107I RR I1A1 P U1111$Y DAL. F'OUTCH 910 EA01.E Apr IO I DENTON TX 76x01 09111/02 13, 90 4 No responso to collection efforts, J f 11 LLN, "IL IAlI W 000.!1!'/'J7 1P 11t.;T .lVl-r,il'I FOW1.E0 59 H SL"T_PFI AV AVON PAlill FL 33095 OO/09/02 262. FU 41' P71AMx9, JAt11L5 A 000").J171. LIT ' ,I11 No response to rollection efforts, MF.9 1 RANKS 009 KIN00'1-014 LEWISVII.I.C TX 79067 O1/21/03 46, 79 ,J rRPE11AN,'iHUIIA)7 0 000213344 fl' .aP I. 1tI0MA8 rfiE No response to collection efforts..., C11AN 1137 SI'RINOWOOD I.CWISVILLG TX 79067 00/2O/D2 11993, 79 V Ullable to locate. rOLOW, DONNA C 00023334 LR ADD Unable 1x:wxY rIlEmeli SPAINISII 1RAILO. MOTH LEWISVILLH_ TX 79067 10/10/02. 140.75 r FURLUW0g11NA N 0007D714 I?R IU J R1tIlARO FURLOW Unable to l517ocato. M CLEMENTS OAINEOVILLE TX 76240 07/19/02 127.75 .NO responso to Collection efforts. tlAOLIARDI,M Ll1APIN 000PJUA0 IP AM) I I:LWYN OAOI16RDI 6000 MIM DR PT WORTH TP. 76148 01/03/82 091,75 t' Unable to locato. 1 01 -pq"N I -..~•wMMMwti~. i 1 Il f•O 3U ;yr rI't I48-+ )rA,h 71 Ni ln,l if Jll l' Liu-ijRr PAOCLJ P,11lt'.l r.... !'A7. iD.... F'1 I t'. pU 1'l1Alt,A1Jrup idAli6... 01JARr114 7 UR-ADUI7.. ST . (MAR, CITY..... ST 0-ZIP DM. DATC CUR, DAL.. / ':AI.LL"CUU. 11101ALiL. OOl ..3992 1- 81' Plli;)II'',Ma 0ALI.Awi u, 11765 7!,' IJAODUNER 71IE CUL.tlNY 1"X 79069 OQ/30/02 36. OU r'naV tIL PATRIC IA 000:14197 FR 1121'721 ftll.l,. OA1tVf)1 No rosponse to collection offorts, RI 2 DOX 331 DENTON T% 76201 It/02/U2 43.20 l u. DON,CumII.. Unable to locate, 6002'2126;1 ffiJ 17000RT SCUTT 91'7 lim" DE11TI311 NO response to collection efforts, 1'% 76201 O9/ U/Da 20 , 00 f J O IL.Dt~N, VALL'u lt: 000?`v,'7U 8f! A[7D R t OIJ F.R7 OILUUN 400 S RUDOELL 41:31 DENT ON TX 76201 Oh/19/V2 , %g , r:N1a,Jtn)'FN r3 Unable to l %0 UC) U17J ha :w ocate. KriRCad CLLT11'f RT 1 qox 104 C UOR04NVI1_LF. T% 76a49 09/13/62 3 .l NO response to collodion efforts, 31 Do 01..11111 A•CLIGLD UUO:'. ti~''U f:Fl 9P ;I ,1171! CLUB IA 71u JUNO DENTON No response to collection efforts, . Tx 76201 70!721/Qg 30 nR 1101.UD I'll III, ANEAS)r L,S D 0001"07%; Ell 1311 ) PATRICLA GOLDBMI711 321 F3 31C1tlD .1 No response t0 Callectfon efforts, DENTUN 7% 76261 09/13/02 1,290,09 COVAN,MARCII`1 066:!619;21 FR DA1 1k57at3 GOVAN 404 h1OH:iE J No response to collection efforts, LIENTON TX 76,7.01 00/03/o2 a^6. OD L G9AIJAM, CAROL YN OOUZ633G SR nUD t JAMLal ORAH15M UGr!L'RAL DELIVERY on effo DENYON Unable t0 locate, TX 76201 09/77/62 97,y0 J GRAY. J I I IN 16 L 0002A(A'I Lilt F3J1 1 .11111-11E CRAY - _a f„ /16 NORSE kept, DEN73N 7X %LaOt 00/ 131v 19k.00 0RAY, SANMY H 00026'7UD IT, NC17 L'' F?r717P1'/ }I G'ItAY Arranpement5 not kept, 930 IGIKINNVIR OENTON 7X 72201 07/28/63 574. 1.• C13C.CPL IY,P)P)Y L. 001)26921, ER ni, P MAR9rh1 (l NO response to coIllOct ection efforts, PT ;2 pox 960 CCLINA Tx 79009 07/03/62 94 ~Q GNl':GN, TRrSCY C UOUY.?G'i30 CR nDD 8 [lU'fClt ORt:FM He, rnsponsB to collection efforts. << DENTUN TX 76205 11/20/02 CRE 56TT, UHYAM P Unablo to locate, 3O o0 000;_>7110 UP 51 J JAPIf:, uwvrs9ETT 2000 FT WORTH.DR447 DENTUN T'.k 76201 U13/17102 1, 140, f0 j C. LINIIat, CUR71G 000" .706;' t:R P,I)D Cu1tTIS CUNTEfl Unable to locate, Ic l p[I% 114 SUNSET TX 76'470 10/23/62 4.9, UO ItAIiRTLIIJ0.aAtRICIA Unab10 CO lOCa Ce,.. 000„UU9:. fR AOD P PATRICSA HAE'RTLtWo 206 f? OAK DCNTON TX 76201 lU/OU/FJ.? 416 f0 Unable to locate. IIAMIXt., IIEG(Y E 00039090 ICa ADD P h31RE PANQL'L R7 I L.OT 40 LAI(F: SHOP DENTUN _J Tk 76„h01 09111162 70.>", . t nrSRUrhI,11U31IP1I 1' 90 , Movodl loft no address, i 6002'71 ER 1111F',NRY HARDIN 1917 L.ATTIh)QRLS no response to collection efforts, uEIJTUN Tx 7G201 00/17/02 30.00' unrruv, canfD R 000ct444/ r[6 null ,+781,2 HANr1Y O P I100DELL 31.72 D4N1ON 'r Y. 16'„01 10/31/82 64.90..... I LIMP IIIAM, MAN 000297911 Clt SP CL DI'nN HnaR [I IAM Moved3 loft no address, J DOX f14.9 MAN8I:IF'LO TX 76063 OD/09/62 4y. U0 HVE A'i IiGRL.'L CAROL, QOU310;II GR AM) J CAROL HIiA11IIEM.YO response l`0 collection 1414 efforts, DENTUN ^ n Unablo t0 locate, T)' 74.01 IU/1"4 /63 103, 10 j,,J HCNHINU, LAltn if.. I) 0067143'7 IP ADD I CAIIOLI'- MII_INKO,viCN LOT 4 EXECUTIVE MHP 11:3 DENTUN n Unable to locat0, 7X 76n01 10/13/92 441.40 NC1thL5NUF'7,SAV1- 00031740 f.R 1;P 3 SAM 3J01NAND13:2 I.,J hate, ILL RD 8T, 4 pOX b6NTON TX 76201 31/04/03 Unable 43 U0 `r HILI.•MICHAI:L J 00032.280 fit ADD Jll[lrj E13LA• t0 locate, 286 PT 170TR111 1.UT 03 Dit11'ON TX •?6203 09/I9/82 9U HOR tbN, CJIA0ITV t- M04ed{ loft no address,- , 40 I 0003;1316 CR F3 P 3 ,10IP'I HEIR"fUN , PO DUX 16,2 IMUM TX 76149 11/14/92 191.61 11 HUWAItD,6UNALO bl 00033400 Ea Ff :7 ULIPInL.U HOWARD Movedi loft no address, 110 1)UX 089 SANGER TX 71,;66 09/11/£73 60.00 ~.J V HUNSUCNL:M, DIANA L 0003421'49 CR l l ;1 111OHN HUNSUCIiCiq response pC61' 1T09AND8 MOTEL 111 DCNTON TX 76201 Id/07/63 92, 89 J 1. HUN114(111IR R 10N t „ih Ea Movadi left no address, V 0o034L ADD :3 OLIN IiUNBUCKER 611 I-XiG 4108 DENTUN T% 76701 fit/69/42 40.00 'Movedl left no address, J V f 4 , I+ ' f .1 t L" l.'~t lJ 90'.::h m rf.il I',I?7 i410 1111tI WWI ltC-I3-1- RI.PIIIt7 PAOE:4 L PAI II'All', PAT, 11) Ill I'(- 4r) I:)1nPoN(OR- IJA11E... OUARANTOR-ADDR. GUAR. CITY, . ST O-ZIP PIS. DATE CUR, DAL. JOH1,K0111, J0AI I HA 0003~L2kO I_It APB :1 ,111111JIJA JU)INt3l'1i4 t309 PAILFY DCNT(IN TX 76PO1 07/23/82 179.00 7 Novedl left no address, JOI 0511N, JTE.V CM 1) 00036471/ ER A01) :I ,1CIMHA J811Nt30N (309 IIAILCY DENTON TX 76201 1000/82 46.00 Moved; left no address, 4 ,iV11lf''1, JACK L 000361:113t7 Ill SII I JACIt JOMES 71!') PT WORTH OR ::EATON TX 76201 11/04/02 1,093"6D J Unable to locate, LAIND,KIM 00039537 11' 131' 1 •ll':RRY 1-AIRO :000 r1' WOR'M DR (fit, DENTON TX 761:01 04/:17/(12 10,824,95 V No rosponse to collection efforts. LAIID,CAIM0H 000391106 IP a,J 1 ,I1M111ri I..Miff q1n Crl"VELAND OF 141 ON 'rX 76201 09/18/02 511. 13 Arrangements not kopt. U I.-LE, AOMUS L. 00040476 CII AT* :1 CLAW147 LEE. DAV S MAILCR PK LOT OEIJ DKL. LAKE TX '75069 09/12/02 70.75 Moved; left no a~dross. 1-CG„109EPll 00040527 ER ADD 3 CI.AUDE LCE 600 I1UNDLtCY DRIVE LAKE OALI.A9 TX 75069 10/00/82 39.00 V Novedl left no address, LIIANE, JDFSI Ei J 000446;4 CN 3P :I r'A I'm LOME, FIT 4 n(3X 413 DFNTUN TX 16201 09/18/82 29.00 No rosponse to collection efforts, Vr LYNCH,JR WILLIiVl1 E 0004119:7 CR AM) 3 JEANNE1TF JOWrPG 1144 C)AKF.W1101) DSNTUN TX 76201 09/03/02 65.00 ~.IJ No response to collection efforts, MAR'r I hi, Rr.mcr 000431119 IP A011 :3 REMEC MARTIN 134!14 KIT LANENIf6 DALLAS TX 73,740 09119/62 267.00 ) Movedl left no address, ,J PIAn' r INEZ, Ill CEIA1:L 0004377) FR AVIV 3 Arn4AND(1 11ARTIW? Y-enTC1. AE7 DENTON TX 76201 10/25/02 43, 9U----~"1. Moveds left no address. 1r 11A'fl'HEW8,CI1AR1.FJei 000441 a3 ER SP 3 01MI-ENE MAM M.WF3 020 R01111414ON DENTON TX 76201 07/11782 331 No response to collection efforts, _ 111 MATTHCW9,CI1, RLOTTI' 000441,19 F,rl Sr Of CNARLOT're LEWIS PT 1, 90X 31 AUDREY TX 76x27 OWJ9/92 an. 90 No response to collection efforts, FIr,CAIN,CARY L 00044996 ER SP ;I GARY MCCAIN ..30(:1 0 AW)MLL STW O3 ULN1'ON TX 76,201 06/24/82 100 73 - Vi No response to collection efforts, ff 11CCULLU6LDUUDY 00049047 1:R ADD 3 D0)3DY MCCULLUM P fJ nnY. 291 LAKE DALLAS TX 79069 09/07/02 76. 00 ; 1J Movedl left no address, W;0ONAL.1), Lt. 0M A 00040U37 CR ADD J LLOYD MCOUNALD 125 1.?1LLOWNROOK LFNISVILI,C TX 79067 10/20/92 34). 00 to Movedl left no address, J MCkELVA,DRIAN K 0004')991 CH UP 1 L14LL"Y MCKULVA 600 WES7WAY DENTON TX 76201 00/09/82 L 297,.03--- ! Arrangemonts not kept, Ia. I1ELK113,JOHN W 000461:36 ER !1V 3 MAIDS UAVIU FIT 2 ROWC OX 46 DCNT014 T% 7620t 0013O102 139.50 Unable to locate. - . MFIH01ON. MACY 000461 d1 FR ADD ;I VRIIAM firlIDION ,7729 UNIVERSITY APT 1 09NTON 7X 76201 09/20192 60. 45 V Unable to locate. J 1111.LERrOARY 00046961 GII ADD :1 DJAIJC MILLER 2639 N FREEWAY HOUSTON TX 00000 10/16/92 38,79 Movedl left no address, L„ MOL.EN, VIRUIN IA 0004'19111 1-I1 ADD :1 RnDPIIT 110LEN 210 MAIN 11k00U1TF TX 73149 10/120/847 IO'L 29 Unable to locate. MOR/dr:B,I:NMA J 00049.77 IF' 131' 1 f71AA11 MAWT6 30, 1/2 W 11111MORY IWNTON TX 76201 07/07/89 8,774.10 No response to collection efforts, OURLNU, JAIIIL: 00040496 Flt M' I JA1MU M011LNO . 214 W 11A09EY DENTON TS 76201. 07/06/N2 49.00 l Novedl left no address, j itJ 110RLIJO JA111C 0(3043504 lr c',J 1 ) TiOUORO U MUROM MOvodI left 30address. S IssOUELL. n132 bENTUN T% 76x01 09/29/92 7 79. 90 MORM MCDORO 0004870E DP M% V Unable to locate, III) MOCUMD,JENNIf'LR UO050161 ER UP ',I CLONIA NLWCOMIJ 000 C 11CKINNLY DENTON, TX 76201 09/02/02 920, 601-1-h No response to collection efforts, I~ mrm I"ON, KARGN 00000,94 CA 431' :1 JOANNE NCIrION 700 APOLLO DENTON TX 76201 041/19/£12 UU. 00 Unable to locate. 1 - -s "k l,. J '!I, ;l', I : I t I, rl I •'111'.1 ,.y _ , ft,11r lil 111 will I'C'. fit I, Pcirrlfi'I, fAOI? .J L I I'd I!_NI Pl,I r0.. PI I L III) IIF11t,11' l h Olt 106fi ' tilt/N7A14I1JIt-ADUH, . GUAR. CITY.... , or 0-21P 519 DATE CUR, DAB.. ' Did?, CIiM$.LN N 000011.31 IP LiP a S:I lr11{l. Fi:J f1Rlr J 4 47.1 r'RICE LF.'WIGVFL.f,E rx 79067 00/B9/na 200.:15 MOVed f1VE,R-11/111, PA7 I;y ; left no address 000'51701 If' Ip 1 IIb?NIA'S UVLNTUNI' Y20 U CIIATti-L15 IIIA t11410VILI..E TX 79067 07/01/02 na1.79 t. urIJJ,CIIAD W No response to collection efforts. 000!119,16 Ell !of :1 X.AWrIr (jWLNS P), " PR ISCG , j Tx 75031 oa/O2/DE 30.00 No rOSpOnse to collection efforts. IJYF.HA, FL ORF'.NCE [ 0009$001 0f ;;P 1 I1 FU;iLr1tIL1N t1VB1U5 , ' I No res 1011 RUGLt;LI. AP'r 16.3 GENT014 TX 76201 00/J2/n2 973.00 i ~ P AIL Y,Ii)h 1:nP ll: 0005'1211 111 ADD U P.,IJBIE PARf5CF1 POnSO to collection efforts, 41'1 H 51YCAMURE AP't 112 DCWTION TX 7b^201 OD/00/Ua Moved; loft no address. 01.40 rom, 01MV: M OCOvUb70 I;It IU :1 L:bU111 PAT x1114 11[3;: 4'11 KRUM 7X 76249 0?/04/1811 419, 7t3 ICRE2, MAIICAHCT A 0000346L.' IF , .,T , No response to collection efforts, ~ 1 AIJDJt FW PlSlt ff2 Itf}L;f + NO response 1321 collection efforts. DEWON T% 7620! Up/Ot./n2 1,173,15 fEIt6:1,RUDL'RIO 0009;3504 L:N AGU 3 RUUIIITO PLIIE/. No response tICiOJ OLILL.ieln fforts, DEN ION Tx 76201 0''//26/02 413. Op J r'unrcR, cErnlerul'1+ 50004977 FR `1P ❑ LSr'IDn Pu1ttLU Itl' I Box n an MOYLE TX 762"26 013/l7/92 $5k 79 PII1rcl-IARD JEAN r q No response to collectiOA efforts, J pUUBrU~U C.I1 ,P J 'f[,Wt,rE F'IJITCHARD 14 t1) 14, LASS APr I n N - - No response to Collection efforts, DEN'I,N TX 76201 08/30/U2 30 pp r'ii [ TCHF•:7.7, TONY 0 UUU9:iU4b Ert Si' 3 TUFTY PR I7CIJE 1 f U1JX 110 AUUREY. TX 76207 '0/10/02 . 1., 0ANDULPI6LINDA 0 No response to Collection efforts 40 VU - 0009DU00 ER ',;1' U (.1NDA PANOCILP11 102 PRfCC LEWtSVILLJ3 TX ' ti ti FIAUP, NATIlLFirN A No response to collection efforts,. psi/a4/tl` 4°• GFJ , -l UUOD'367J II 61 1 MICHAEL RAUP E7ANOER AP'T5 8O PO IIOX DANGER 7 . NAW20% W1LLIAN A . No response to Collection efforts, TX 76266 pl3/11/tl,: 083.90 00080749 ,.R ADD U II WlI.I.IAFI RAIJSnN PT l nLIX 919 V No 1`0000sa to Collection efforts. CENTURGA WA 00000 10/23102 107.:9 Rb:GD, JOFIN FI 00086119 I71? 1111' 3 DIANE UARNErI' R7 , CA> coll I n effN MHI''N2 DEN trill Tx 76201 OR/ 12/g2 67, 00 RLF'D, 1110MAS 00096104 En FP ,1 711000 *3 Rrt.D No response to tI0 efforts, tv 919 F l1C SCULIrT D£NTOM7% 76201 18/19/02 96. (i0 _ REYNOLDS,RANDELL 11 00096609 ER SP U DAVID Rr;VNULpgovedi left no address 0." 711, JAHNI$ DENTON TX 76203 UB/13/02 30. 00 4 Rlf,N14AN,OL[-.WGA 00007(01: UP UI' :1 6L IiIJ response to collection efforts, UA R[CI(11AN ' I'OOO P1' WORTH DR HIM DENTUN TX 76201 10/04/92 66.70 ~.J IIIUDLL CUSAF! R No rosponso to collaction efforts, 0000WN'24 Cl? OP U 1109AN RII)DLE 601 EA01,E DR 1149 URNTON T% 76:10! 03/11 1tl2 33. 00 NIIIIM05,CLAUUG M 00007840 L'R AUG IILE131E JOHNSONnable to lOCate, v^? LUWIOG 4;.1 UlFIJI'ON TX 76201 1 1/08/83 .J ' Lr PIUIIICl3, CLAlJOL: !4 ODU57:.'9/ 6'N ~I' :I CL AIJnc RIDINOC OVaQ; loft no address, S0. UO 110E IJ MILL LEWIOVILIX TX 70067 10/auJtla 30. 00 Irt1nLCS, JWAp Movedl left no address, J UUUSU31711 Erl is ,J JUAN RnOEL:S 10'7 C 140"N5JBEY APT 94 DENTUN lr!NII, It11tL1U1 No response to collection efforts, TX 76901 12/11/82 70. W I 000970,`1' I:IT AVI) ;l PONAI.U Pmi J RI' L D`tY 1111 Bb: hJTOIJ Tx 76201 10/:9:02 1. l left n 0dJAIII I O5[GERRY, CYNTHIA OOp59i 191:9 A010 J CYNHIIA RuTm ErIliY 171!1 d ! S7 LOT 70 D4.NTON TX 76'.101 11/04/(+2 5112`1 J r - MOYedl.left no address, 527, U0 8, 'r [IJA ODU59T14C' TMA Nn..is I , at. W nAlt N!n UEIJTnN 7X 76201 11/28/83 38. OD NYALA, TAl111Y Unable EO IOCatery 00099717 IV UP I IJII:V@N IIYALO Rl., nTM11P Nla ANOYLC Moved; left no address, TX %6226 10/19/02 1,093, 90 ' 9ALA:3,RAV11UN0 J pOtl99G79 ER AG 1) :1 11AYF(UNO ALAG 1914 as IJ. CAllf7nLL DENTUN TX 76201 10/23/02 40, 10 J u~ GCNIT'NO,NEUrr-CAL OOOb107% lP RP 1 11011 SCFIIRRq MOVadi -lBft -no a ddress ~ 10011 DANITA MF.MP31[8 No TN 3G207/30702 7a.5 rosponso to collectfOn efforts, 1,0 6U J '4'y, 'i rr 17.11039 ","1 111'1 141i9 it?.) 1N 'Hi 1111111:-UPF REPOR I- PAGE6 .J I'AT Irmt... PAT. lU. PI I'L'. III, FU,IRP,PI117N IJr.!tf:. 00ARANT011-ADDR..... GUAR. CI TY..... Br 0-Z IP D19, DATE CUR. DAL.. 'J 1;1'01 f, AUf fill 12 0001,1401 CR AUU 'I A010 IN :720 1001' DGtdl(1N TX 76201 10/03/83 101.00 No response to collection efforts. / ;J1121111-1 Of 1, OAVt1) 11 011061?W 1.11 riD17 I:I DIP)ID MIARF'1'ON 110711.. 5ANII 11211 MINTON TX 76201 10/t:7/1.112 30 U0 Unable to locate, 1. :;I11KLI-, f1ARCARET A 0006,,2.031Y 1F' 01%1 ;1 1111WnY J01. F1HIKLr PC BOX 921 L.AKF DALLAS TX 75065 06/10/02 314.09 I J No response to collection efforts. 311-111 T1 K IMIIT:IWF'l`1 0006"_1)76 f:H J J117'I1-'l CLAR7t llOY 115 TWIN LAKED HHP DENTON TX 76,PDI 12/09/02 613.50 tp Moved; left no address, J _ "KIPWOR111,GWID'1, D 0006:3671 1513 t' n n11Y r;lw,wuI?m 107,1 DPOLINWOOD LEWIOVILI.,E TX 75067 !2/Ol/U3 72,:99 Moved; left no address, 1. iLAU0111E'rL JA'rIL'd 00063693 En ADD J 1..11.1.1112 +I.AU01IT'l"II 5T1':1111P'IC PIN 17 L AKE DAL.I.,AS TX 75069 11/ 16/02 70. 75 J No response to col~econ efforts, _ SPII'r1Y,M10FLA r; 00064907 iP API) n ANNULA t11117 TY 9:10P F NCKINNEY DENTON 7% 76201 11/01/82 2'17. Ib v Moved; left no address. %NITTY,U0011Y 1 00064915 IEff ADI) :3 IIFIiIRY ,r,191'!TY pr I SANGER TX 76'66 10/31/02 57.75- - Unable to locate. 11, l fiPECiOR, JEFI-RCY A 0606.91190 ER SP :1 JrYVRGY SPHC'[OR MOVOdV lef4,c0 ad1WRIIAN OR DENTON TX 76ROi 10/16/92 59 110 ss, 91'RINU,V097hltr: t 00065070 OP SIP 1 VONNIr F;PI11NO PT R DUX 43 DENTON TX 76201 011NS/113 45.75 4 Unable to locate. J 4',T1NPLE, JAMES J 000151,707 It' SP I JAMF"F: STHNPLS I10 I"IMIFAIAI.L DEN FON - TX 76~D1 121031112 709.!;0 Moved. left no address, 1 !3fOCKARD,L.IMDA 000(.'/160 IF, 11) 1 LANDA GIOCKARO 000 NILOON DENTON TX 76201 06/D9/O2 11201 . 90 J . j Movedl left no address. 5 TOFEk1, EVFLYW 000672123 ER 11P 3 CHARIAtS STOACS AT D UIT 103 DE:NTON TX 76201 08/06/82 129, 50 Movedl left no address. J B I RANOE, FFIAHCES 0006761t Eli AI1D O JAtWl STRANGE: 001 Ii HICKORY N1 - DENTON TX 76201 10/07182 44.19. Movedl left no address, 1r SWAPFnnD,nnnrHA 1. 000613262 iP ADD I. 101,11,1'/ DWA1F'OItO RT L Dnx 'if till I8(11O TX 7,7011 10/04/02 3,072.00 NO rO5p00S IHOMAU,JO5It1'M H 00069187 EN ADO 3 JOE THOMA13 - - 171e5L1NUEN collection effOrtal DENTON TX 76201 01/06/03 36r 50 1 Movedi left no address. J "1HON1'r3,PAIRICLA 13 00069203 LR (AID 3 RANLVALI. THOMAS 2211 N ELM N5 DENTON- TX. 76201 00/30/02 30.55.._.....1 Movedl left no address, h if IOMAO,TAHIF11 1) 000692,07 En ADD J JOL "1110HAE 1713 LINDEN DEENTON TX 16701 07/26/03 40, OD I,J Movodl loft no address. TFIAVIS, DAY II) J 000706130 Fii( ADI) 13 DAVEI) IIIAV18 623 171' WORTH DR 11IH 1JE14TON TX 76201 10/06/02 Of. 50 1r Moved; left no address, ilJ ! WRNE1612ALPH 11 0007056'; ER DAI 3 IIALPH IIJIUILR 109.IIAL1f11:V DE.NTON TX 76201 0'7/10/02 to. 00 E Moved; left no address, V VOn U71U, IGAIAII 0 0007077/1 OP Ell :I 1L4111%.H UODORO 2420 LIJUSIE 118 DENTON T% 76201 OU/09/02 347.90 I',J Movedl loft no address, VN:KLRaIKAIIII.n.EN A 000711111 t:n It, :l KArI1LFGN VICIACTI6 3:10 Dn9INIV ORAL DENTON TX 76201 07/2444, 73.45 1w No response to collection efforts, J WALUNUIb JANIC L 00071910 Ln 11) 3 JCHI WALORIIM 1124 WEGTCHESTfin DENTON _ YX 76201 00/22102 30.00 No response to collection efforts. 60 WARD, VINCENT C 00072DOO En UAl :1 ILEhINL: IR WARD 3017 W 6TH DENTON TX 76201 11/04/02 10.00 No response to colloction efforts. - - - IU11inF:N1JAMI:R 00072611 w SP I FIAl11-.A MCELYGA Ii'T 2 DO'X 221 PILOT POINT TX 76230 08/20/82 793.05 `0 110 response. to collection efforts. 20 ILt.IAMJ,JOA14NE 00074791) LN ADD :1 JOANNE WILLIAMD RT. 4 LOT 21 LAKE DALLA>3.._..TX.7DO65.1/03/132. 30,00 Unable to locate. j WILOON,VAL6'RIL A 00075606 EN OP I VALL-'It1C WILSON '134 ROCKLAND HIGHLAND VILLA TX 79067 00/21/82 .117.70 Movadl loft no address. r.1 \ I,rrr r r r. Y r 1 r I III, 11.1: I'l l1 ,:I11111Y IIII••. 11l.r IAI~ r,r IY 11,1 YV r1I ..I`1 ~~.r~i. n. , ...11 rit 1 ~I L, r 'D n/, :II I I N 14f,y R lj! dl brill II III I III 'N)iUr PAOt!1 V PAT ICIII r'Ar. III CI 1'( 011 OUNIAWUR'-0Ao-lf.... CUARANIOR-ADDR, . GUAR. CItv.. ST 0-21P DIIJ DAT£ CUR, DAL, UR10HrI br.111IRA1 i 1_ Goole,?99 OP ADi1 't jwwm/JI NR1ow IdOA 7100 W(EMMONS N1 DOOON 'IX 16201 09/03/02 129.00 ll Moved; left no address, 7 fFC1(, PIME31: 00016737 ER J C11R1. CAR9KA0LN WL'ACRN MI-IR LOt 7;2 DENTON TX 76201 OD/22/U2 2'72.03 Ho response to collection efforts, l i'-;6111C,D11 ICH, IIAtiOl.III!. f 00077;P1 (11, 'Il' 1 14.1141W.', AIIILL)MCII 2001 FT N014111 UL'NT UN TX %62D1 09/07/02 594 98 J Moved; left no address. -r S 108,130,E ' , i L J J ~ I,I J L iiJ 4 1. r1 v -i J V '1J N1WtVit4a~,'+41i.~DY+45""dvr, .d b'If .,t3.,V, .i.:: r. . U.°., . iK... .n l..., 'fl•.k ,~+1.::_1d.,A.'/}n(y1114~IIIY'hM4iyMNw?bl*1?~SiM81/Fa Ah4C1'`(GRVM.YIR ____IQAen_uF_p1kEr_.TOa~_t7E' .rif~_- BUSINESS MINUTES December 16, 1982 r,9, 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m, on Thursday, December 16, 1982 with the Chairman, Mr. Wyatt, presiding, Members present: Members abstpt; Mr, Ralph Havenhill Mrs, Wilma Fritz Mr. George 4iz Dr, Don Holt Mrs, Gloria Madewell Mr. Brad Moore Dr. Roger Nunn Mrs, Mary Williams Mr. Leonard Watson Mr, Dan Trammell - Mr, A. E. Wyatt JAN 2 4 1983 The minutes of the previous meeting were presented and approved. New Business; his serviceitootheMBoar Jdaof Directors as President presented Dr. Nunn with a plaque In appreciation for him for his willingness to serve as spokesman for the medical staff, Financial Report--The monthly financial reports were reviewed, as well as the Charity CTarge-Off in the amount of $127,181 and the Bad Debt Charge-Off List in the amount of $117,974, It was noted that the census for the month of November was 93.4 and that there was an excess of expense over revenue for the month of November in the amount of $23,442 and year-to-date in the amount of $54,962, Mrs, Fritz reported that patient receivables have increased during the first art of December, but will probalby decrease with the holidays. The preliminary audit report t is to be presented by representatives from peat, Marwick, Mitchell at the next meeting Mrs. Fritz explained that the balance for reserve and repair fund is now at approxi- mately $60,000 and suggested that the Board consider investing this amount in an interest earning account. The Administrator discussed the reasons for the loss for the past two months. He stated that it may be due to the decrease in patient census and added that the number of full-time equivalents is being studied. Ten full-time equivalents have been reduced since the last payroll period, and it is planned to decrease payroll by another 15-20 full-time equivalents, Mr. Moore asked about the reduction in recovery rate of bad debts to less than one percent and asked about the larger amounts of bad debts. Mr, Watson stated that he feels that the Collection Department is doing everything possible to collect the n-pay ahoseccounts. Mr. Moore accountsgae9trating. usHeosuggesteddthatuBeverly r McGoo bbe Service set s back such the progra. Mr. Board Watson Mr. Havenhill moved that the Financial Report, including the financial statements the charge-off lists be approved; this motion was seconded and passed by voice vote. Mr, Havenhill also moved that the Board of Directors apnruve the investment of $600000 in a certificate of deposit or money market securityy--whichever offers the higher interest rate. This motion was seconded and passed by voice vote. Safety Report.-The minutes from the December 10 meeting were presented and reviews , as we -Fas a summary report of the incident reports, It was emphasized that there had been no violations found during a recent fire/safety survey by the Denton Fire Department representative, The possibility of improving the landing site for helicopter transfer of patients was discussed. It was agreed that the Administrator should check into the cost for such improvements and report back to the Board. Mr. Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. BOARD OF DIRECTORS BUSINESS MINUTES oele December 16, 198 Utilization Review Report--The Administrator summarized the minutes from the Nov,m er 2 meeting of the Utilization Review Committee, The report was accepted ( following a motion from Mr. Havenhill and a voice vote, Medical Staff Report-Dr. Nunn reported on the recent election of Medical Staff officers foo r X9`83--i.e., Or, V, R. Alvarez, President; Dr. R. M, Lockwood, President- elect; Dr. W, E. Coleman, Secretary-Treasurer; Dr, J. R. Anderson and Dr, Terry Moore, Members-at-Large, The following clinical department chairmen had been selected by the incoming President of the Medical Staff; Emergency Medicine, Dr. B. P. Little Internal Medicine, Dr. C, H. Wahlert OB/GYN, Dr. J. H. Miller Pathology, Dr, K. L. Ford Pediatrics, Or. J. F. Cuchia Psychia*Ny, Dr. E. L. Taboada Radiolcgy, Dr. J, P. Brown Surgery, Dr. F, J. Charney Credentials, Dr, Virginia Moreland Mr. Havenhill moved that the Board of Directors approve the selection of chairman as presented, this motion was seconded and passed by voice vote. Applications from Patricia Walker, LVN and Marilyn Clinkenbeard, LVN for privileg s as Physicians Nurse Assistants on the Allied Health Professional Staff for Or, P. J. Montalbo were presented and reviewed, Mrs. Williams moved that the Board make such appointments; this motion was seconded and passed by voice vote. C Privilege delineation forms for emergency room physicians and radiologists who did not previously have such forms in their applications were presented and reviewed. I appropriate t was explained that the delineation of privileges had been recommended by the Committee departments, Executive withiatJolntnCommissionCredentials Accredita- tion of Hospitals standard, Mr. Havenhill moved that the Board approve the dolinea- tion of privileges as submitted from Drs, Little, Flynn, Johnson, Lanier, and Roe for emergency room privileges and from Drs. Bakker, Lockwood, Roberts, Obald0, and Brown for radiological privileges. This motion was seconded and passed by voice vote, The Medical Staff Bylaws and Medical Staff Rules and Regulations as revised were presented, Dr. Nunn explained that both documents had received the approval of the Medical Staff at tM-1r Annual Meeting two days prior, Mr. Havenhill moved that th Board of Director,, apr,rove both documents; this motion was seconded and passed by voice vote. Dr. Nunn reviewed the minutes of the December 13 meeting of the Executive committee, lie noted that the pediatricians have now been approved to interpret pediatric enJ newborn EKG's. Mr, Havenhill moved that the Medical Staff Report be accepted; t.hT, v.~tion was seconded and passed by voice vote, CT_Scan --Mr, Watson reported that after a hearing at the regional Health Systems Agency and through waiver of hearing at the Texas Health Facilities Commission, the hospital'& application for a Certificate of Need for mobile CT scanning has been ` approved, It is planned that in the near future a vendor will be selected so that service pan begin the first part of March, The Administrator listed the other hearings for additional services which are scheduled soon, including one for additional beds for the Alcoholic Recovery Unit at Westgate Hospital, He reported on the new Home Health Service at Medical-Surgical Clinic, also, 1 _ BOARD OF DIRECTORS MFrTING BUSINESS MINUTES D, December 16,___1982 Page Professional Office Building--Mr, Watson stated that he had talked with the representative from BE regar ng the status of the professional office building plans. He stated that there is a delay due to a decision not yet made by one of the prospective leasors who may lease a large amount of space in the building. The Board agreed that we should wait a while for the physician to make a decision. Future Plans--The Administrator was asked to comment on what he foresees as future growth of the hospit,1', He stated that in the next 5-6 years, depending upon the economy, the bed size of the hospital may need to be increased; additional x-ray equipment may need to be purchased; modifications and updating of the building may need to be done; dietary may need to be modernized; and the chillers and air condi- boning systems may need to be replaced. There was general agreement that plans should be made for the future and that the most cost-effective way might be the total replacement of the building. The meeting was adjourned at 9:10 p.m. Dan Trammell Secretary gm r l r I A ~1r~ I. f_ J..~I r... ..f1 Jail DATE 12/24/82 11:07: F L 0 W 11 E M 0 R I A L H n 8 P t "r A L PAGE 1 a ACCOUNTS R90,LWADLE ACCOUNT STATUS REPORT CHARITY CHARGE-Orr LIST DECEIIDER 31, 1982 J PATIENT NAME C PAgqE-ADM1T DATI pII p pp gg aRFFAECT~PATMBNb,r OVAAANIORO~gAw 0R °NPJONE NUMBER D1C D13CHAROE DATG MODICAID M INS X PADUDNT CURRENT tlALANCE' J HAVN0IJ BROWN r 2/14/82 464 40 639a C2 1.IDO.00 11.00 yg SHANNON 89 114:28 BROWN 2922490 2 24/82 002 90 0844 3. j 207 18 6489 RA SCOOX 331 T% 70034 J w Balance after Medicaid. 4, CCLL{OAW PATRICIA J CCLLIOAN 'PATAICIA b 97 10/19/0 1 301.770 732.15 ly 3 179038 LRWIBVILLEL 0102 T% 7906%4068 6 E0%72/88 4;900.01 1331 ~5 / w ■ Hill-Durton criteria 1y CRANMORI'_ MA TE Mgg CRANMORE MAR It 960 20/R 97 99/01S1/8 .700.00 3106.80 3106 80 J 102 386409 AUDRtY TX 76227 9!21/84 a ■ lill•Button criteria. q J DYCCHE WILLIAM DALLAS CO CH, NaLFARE BY 2/09/82 2. 900. O1 199,70 f99.70 201 384412 4434 MAPLE AVe. T% 70830 9 3. y » Denton Countyg jail (minor), 4. J PtlW48R 46165 ORNTONOP RE8 HM9 JT%H 76201R94t 81/86/82 292 09 OSOOA ag;t00,00 5264.80 1268,60 I * 05 TT WW ~ Deceased; left 9no assets, 4 V FOIUIR 20 b969MRE322TtaNOP D~9L11l JACK 7655& 2012941 82 7/11%122 PENDING 3 190.00 1027.95 iRa7.D6 J i w Deceased; left gno assets, 4 OU`OBRREZ 2443016 20052 AVENUk10ENREt iRF.NE 3 2092 el 9/08!92 1616812a9884M " ,51S50.08 100.00 2459.05 " DENTON TX 76261 4/17/98 100.0 199.00 .1 * s balance after Medicaid, J HAERTLINO PA RICIAp E WiPItTINO PATRtCIA 89 10/28/02 , 70 177, o 202 404447 2HfJTONOAµ TX 76EU14771 4 10/9 /82 3. 177. 75 17 T 4 r Denton County Jail. 4. J CAt~ NOCONA AUNT xtXNE7bbR 97 8/ 06/91 16 .;900.00 0972-60 2972.60 2 04 ORAY84N 22J 692 8 7ry / 6/ o 1HUNT01 J 4295 2 V Hill-Burton crltteria. R Aq q NH 87 8 1100. 00 106, so i06: $ / L MANUIL 4327DORIEOa1JTCNCDO0.A11UU11 VALORI76801 Ba8nce after liedic4fdr `r MAYD pR® E L IYiYB , ItARJrH 69 q/14/8 y 300, 50 93.60 180 60 201 44084N1 DOX f274 707 IIUNOLEY DR 497 2632 6 9119/82 2. ' J Indigent care, 1 i ,t s; DATE 12/$4/82 12:I5: P L 0 W fi E M 0 R I A L H 0 8 P I T A L PAOE 2 V ACCOUNTS RtCEIVADLE ACCOUNT BTATU8 REPORT J J PqEPATZENT NUMBER GUARANTOR NAME F/AD TDM17 BATE MEDICARE b INS N PATIENT yyRD *1NDILaCT PAT. NO,* OUARANIOR ADDR881i - PHONE NUMBER R/3 D16CHAROE GAATE MEDICAID # DUE CURRTOTAL ENT BIDALLlMCC LADE DALLAS TX 75065 4, 93 f,0 « « r-~ V MOCO3 353021 HA f 09 NtlODROW LN .11 RON 966 .7777 97 ~0% j3 11900.00 39/5,60 r 1 6 ~ 4 « D1flTON TX 76201 8 -Burt n.crlterla, 4. 388.6 Hill 3 Mae MELISSA 1 MCE MVRON p 97 f / /B2 1.900.00 6081.85 «101 453282« lfNT0W00XRCW l.r! TX 7620 -27/7 8 y / /g,9 ? bog gg UB N i / /92 3. 6Utl~, D5 g f Hill-Burton criteria, 4• J Mtl gg 02 453118BSA ll05 W0 RHO Lf! tiYRON 27/7 977 1/1p0/92 1.900.00 5014.00 V « « DENTON ff ~ TX 7b8~! la/o7/8a 4, 5914 4: Qp tl0 J Hill-Burton criteria, NEW185RAY 38747 q1 EY 0g4 33LM~1r/LLLL 1'tWBENRY RICKEY 408805 S9b Balance 4. 900.01 '51,78 096 ~r «8 1NE8VSLLF . j03%64 . q2 TX 762 7 after MHH PENA SgTANISLA PEN//, VOTANISL Bg ~~2 2 m 42p072S201M a;1J0,00 48.00 12`4.7 «102 253900« LEW a HH VILLBOOD TX 750228-2137 t 8/0 / 2 l 4B. 0S Balance after Medicaid,' PENA ESTANISLA HH pPp~RNA ESTANISLA 89 9/166/82@ ?49427784M 1.1 4763.55 J %104 .753500« LgWjSV1LLE000 TX 7021;6719 t Zi18ie2 Pa07a9201 4,130,00 $if0:60 RENi MAgy g gqENL1 MARY E o glance s ~icaid, / 5'J J 16 444646 21NfigAL DELIVLRY NpN3 2 §f/ //2 1 150. 00 949. SS 2gg q ENToN 7X 76801 9/ /92 4; 44~:~8 J « « pq tg Balance after 7 Medicaid, y o b RMIOEIR 41311 20CAHONTA6RE11 1R E RARD724S5 9p 9/OB%a 1; f65.47 s129:$q 46 Balance A?tepr a scald, 4, BA201AR 47Q84SL0 MCCNINNDEYNRI iOUNT S9 lit%f2%62r 1, 900.01 30.00 3g 0 J « huTON , TX 76201 38.80 4 11 Denton County Jail. s J 8M2t70 a08322»T O:000LFNSM010 ROx8RT7~2011486 8g f SAIS/81 1, 900, 00 46,75 R Indigent care, V t VIA DATE 12/24/S2 12:24: F L 0 W 11 E M 0 R I A L H 0 8 P I T A L _ PACE 3 1 ACCOU14TO RECEIVABLE ACCOUNT STATUS IIEPORT pRERIIEN_T NUMBER GUARANTOR NAME F/ flEyADMIT rATE MEpfCARE N INS N PATIENT TOTA gg LLAD ~ *1NDIFt T PAT. gNO,* OUARANIOR ADDRECU PHONE NUMBER R/0 DISCHARGE DATE MEb1CAID N DUE CVRR&T R~LACE 81L4EDR8 39040RY 6 00 CLIFFOIDP JOHNNY 293 91.90 86 66%04%62 3;900.00 360•88 360.88 a w F1' WORTH TX 76134 35.0 Balance after M11MR. 4. 9P 101 463042 PATSY P 0 p DX 31 9PgA0hRY PATSY 1r 101 89 105/922 1.900.01 48.71 97 3 482 6262 6 1 8 4g 49 « * KRUM TX 76249 71 Balance after milim, qyy 4. 4 8P10'EARV 146Q10E A 1119 NORMNRAnEARY R08IE 382 2421 61 10%0%67 4f0104601A 0.190.00 24.00 1067.20 ,t, r OENTONN TX 76201 10/2 / 2 24.00 61 I Balance after Medicaid, - 4' STARRETT CLAUDIA STARRETT CLAUDIA 99 10/o /82 1.190.00 90.00 ! 101 492029 1409 N DOCLNEN 214-321-2477 2 10/81/ 4920389SJC1 2. 199$•25 « DALLAS TX 79215 10 S/ 90.00 Balance alter a icaid, 4. J STUBBLEFIELD DRANDI STUBDLEFIEI_n,SARA 97 J/19/6g 1.900.00 65.00 201 469633 41.6 S ITH 382 1063 8 11/19/92 2. 68-00 1v w w DENTON TX 76201 3. 68.00 Nfll•Burton critdria. 4. 1 STU LEF1,'LD DRA D1 91 U80LEFIELD,SARA 97 /22/02 11900.00 14.04 V 2 469636 D4J6 T80NITH TX 762011063 d 11/22/82 2. 14.00 r w 11111-Burton criteria, 3• 4. ~r Br285LEF[ELD 66494« RL1 SMITHI'UDBLgPIELO,CT%IL 761201833378 g8 8/00%62 6.900.00 79.78 79.75 T 40,75 p }1111•Bm1LOn criteria, 4. Tp001 42095pLlNlp02 EDMOMiB N1s LUIS NONE 89 6%01%92 0:940.00 14240.89 2 5 J M 0 w LRW1BViLLE TX 75067 $ 29 Indigent caret illegal'allen, 4; 1424 ' J TR?OILA 428482*TILEWISVILLB 80 ~T 49 ILTXB 79061 89 7 dlgent ea2r4~61 legal al inn, 2. 900, 00 629, OJ SO: E ~1,, VLL 8 qq 6; 88 1 1r Tx100S 163"ea* 20070MT•WORTFI16R.M56 ETXA 791 1832037 S2 3%0 %8 190.00 13731.69 7 S 6 620 4 16701.69 gg Expired; Left ngo assets; previously used 411 Medicaid available, TURN 29 1 05 299370LIE109 MA89EYUNNER^a8 ,ROSALSR966 2663 811 6%0 2 2 4956742370155-A .1.00;00 26.40 1614.93 ! 'I .t PI1 i~ DATE 12/24/82 12:29: PL 0 W 11E MOR I AL H 0 8 P I T A L PAGE 4 U ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT Pp fASTZENT hUHBE 0 ARA TOR NAMg P/C A?M TDH1T DATE MED CARE N INS N PATIENT TOTgL 1LL' J "INDINECi PAcT~. NO.a OUARANiOR ADDRD88 PHONR NUMBaR A/C D a HARGE PATE MED~CAID M DUS CURRENT BALANCE DENTON TX 76201 8106/82 3. 26,40 " t " Balance after Medicare and Medicald. 4' WEBBS 3S?03DY AT t DtlX iaeB PAUL 4258404 89 6%117%68.^ 2 1;900.00 300,73 b3, 00 J PONDER TX 769 6 23. 3D0.75 " " Indignnt care, 4• W1 ETT PAUL R ILLEIT PAUL 97 3/18/82 900.00 142.00 q J 4 201 3SR669 JUSTINO% DOA TX '76N07 2 S 3/ /82 33. 141:88 DO HH q 18113182 v W L03AMS0N 373903LEBISUOMESTMI000Ett BEVERLY566 0968 D4 500 707 895 2. M. 00 18.00 2 TX 76201 30 J Balance after Nedlcafd, 78, 4• 7 ;11 V W"182T 397596X" f6N60W 0AYH87N~D ATX 76EO14395 92 4/ 2 150.00 519.35 47. DE T N 31Q. ~g 5/17/82 ~mo J V J 1r .J 1. J V J J I t ~ I i1~ ,I W i6-1 I M i ~ DATE 12/24/82 12:32: F L 0 W HEM0R I AL HOS P 1 T AL PAGE 5 ACCOUNTS RECEIVAULE ACCOUNT STATUS REPORT SUMMARY PATIENT CLASS COUNT PATTIENT INSUURANCE TOOUAL V OUTPATIENT 2 ' 407. 25 . 00 4E407. 25 INPATIENT 20 45962, 14 00 45962. 14 V EMBROENCY 14 15520,33 00 15520.33 TOTA1 ACCOUNTS RECEIVARLP 36 61809, 72 .00 61,22a,3r xxxwx TOTAL NUMBER CF ACCOUNTS IN ERROR xxa xxx J 1r J 1 ~ J i r.. {fie r DATE 12/28/08 q: 69: F L O W Ii E M 0 R I A L H 0 B P I T A L PAGE 1 j BAD DEUT TRANSFBn REPORT FOR PERIOD 12/01/82 THRU 12/31/82 VI PATIENT NUMBER ***04 PATIENT 1+ANni 4*4* GUARANTOR NAME •*M♦ DATE OATS PATE di- OF ACCOBALANCEUN'f PFX NUMBER ADDR, CITY, 8T, ZIP ADDR. CITY.ST, YIP ADMITTED DISCHARGED WHITEOFF ~ENTON ANNABELL .?/23/82 18/27/82 163,39 R 313973 ANDfiHBtlIJ ANNA DELL ~Q79x~AIR OAKS k208 Z IJtl TH ELM TX 76201 DALLAS TX 75231 No response to collection efforts. 12 ~ R H f 10T9 C 6 102 69115 "?a N07LLECLENrNfifRO87XruJ 76240 pOAyyi~~NE~VIILLEEN78 - ALTXN 76240 HO ro~sponse to colpac on eff°/~ts.82 342.00 102 185611 ANWAY1 ELLEN 76201 DQNTONIN LAKES ROBERT7bBOl 3/25/82 3/29/82 12/27/82 50.00 TX TX ✓ VYH POND No response to C011ectlon efforts. 2 343533 ~ I Q ~~{P BAY OIAT% 75067 jAIN 7 E9v~GLY ST DIT%A 76240 4/23/02 12!27/02 504.00 O pRR7 g3 No reSpoASe to collection efforts. TB2 1132.05 10L 409971 ~ TT4tlEFf~ LANE BHET%Y 75060 LT LWIBVILLE LE7% 78065 No response to Co?leCBtaon efaeat, H p TH R~t AVE F , KAREN ~Rg9URVE.F.,.. «Y,DONAL'p 5/23/88 5/25/02 12/27/82 525,00 V 302 "?46256 p N ON rX 76201!N ON TX 7b20f" collection efforts. qYY No respeese to 0 14. 50 12/27/82 214, 374860 ADKINS TERA RTK NSBO% 233 EDDY 4/21/82 BOX 233 TX 76927 AUAY TX 76227 ` No response to collection efforts. l+ pRggY WW g¢pp ggggpp gguupp 206 157669610VLlEOD MANtl~2 JAIJ7X 750676i6V1lBOD MANOR- JAT% 78067 1/05/82 12/27/02 26.50 0Vl `IjNpp No response to collection efforts. 101 71274 >~isWlW2 B6D NANCY 75067 ~BWI~ iLLED NATxY.+75069 5/24/f19 5/2q/89 121&7/82 1893 60 "e . E Tx No response to'collaction efforts. pIpb I D GARY 4/04/02 12/27162 22,00 201 398415 Btl} TONREEK OARV DAe1 14 CHARLES 76201 No response to collection efforts. ~ rx 76901 N OW D¢ '8 201 341003 6AKpoEN DHADSHAW. CH 8LE8 A10E}N~ BRADSHAW TX "7&201 No response to Collection effort/82 69.35 OkNTON ! TX 76201 FOOpHNpfTfN~c! 3/1 efor s, q3, 86 v /02 I ,IDf 385401 NORM TR PRK 439AYTX 76901 DeNm 43 COTXI 76901 No reRspo se to V14/ p upy E 8NNNp9yON CONNIE 2/11/82 12/27/U2 106.20 I, 203 199663 aANKS 431 tCAPAiCaA~XM 76201 gNTON 431 . TX ~6ROf No response to eollection efforts. ~nl4 ffN. rv _ v DATE 13/90/62 9:58: F L 0 W M E M 0 R I A L H' 0 8 P 17 A L PAGE 2 j BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 ~r NUMDEN PATIENT M*fMM PpATIENT NAME 411** GUARANTOR NAME DATE DATE DATE OF BALANCE PFX NUMBER MBER ADD R, CITY, BT, ZIP y___ADDR, CITY,BT, ZIP------ ADMITTED DISCHARGED WRITEOFF dF ACCOUNT 2/24182 / 201 379784 a~NT$NALit3508/8TAkKENATLLL 76201 0~1L<ADOXD462 BETXYE Y7963 No response to collection efforts. 82 38,00 101 347656 1g~ $BTTVSTON PLACk BARBARA effort2/27/e2 183,05 76201 - pg~ %;UBTON,PLACE~.MI 7X At~1 76QO1 No response t0 2112/82 V 40 ppgg rprp ~~11 MM 1/1 L fOl 332924 D9pNHAALOTTE. M0 THETXOA76203 ' DHNTOWtl% 67.611.VERDDM6T%P76Q01 NO response to ScoZ13eCStlon efforrts 02 1609, 15 2/1 4 101 373431 146LLEROU1Nt LINTX 76246: KELLEtoux RATXALL76248 NO rOSpOnSe to2collacet~On ef2f0 is ~2 899. 1!! 4/2 Y 12/ IOl 389253 PONERtlX 180 DAET% 76269 PON~EROX f60 OA7%ELL76259 NO / dSponse to C0181eet210n efforts 82 30.00 R tot 400746 I~jAOLLoEppO3ELAWN ' KEVIN p7p7 ALFNN , JAMES 4/24/82 5/01/82 12/27/82 437.00 VENtON TX 76201 D NTtlNLOCUBT TX76201 " NO response to collection efforts, 201 .270058 IAN THOMAS 2/22/82 12/27/87 120.47 r 9 T WORTH.OR MIlOECKY NFT WORTH OR N11 lit V NT ON TX 76201 C NY014 - TX 76201 No response to Collection efforts, 104 292722 ARpD DOROTHY 22BHgHgAgO DOROTHY 8/06/82 2/13/03 lit/27/Bit 239,83 y NfOV WORTH CP 010 TX 76801 ON ONT WORTH DR 013 TX 76201 No respOnso to collection efforts. 4 ggpqpqq pp5s4p 102 49605 DENTONPENCER RD ' HENRY T76201 BEARDSPENCER RO ~ TX HENRY ' 7620! NO 4/05/82 rAepOnSe ' to 4/9102 CO11et10n efforts, 233, 10 4 DE 101 77248 gGAqD JIMACI5 BE" CAP JtMACIE 4/13/92 4/15/02 12/27/82 267.40 peg 2 06NTOMPENCER ENCER TX 76201 91NO TX 76201 No response to collection efforts. DHNTON &00 ROAD TX 76201 ~ENTCN STEVE 4/10/82 12/27/82 71. a0 y 20t 390760 N L ' KIM BEABLFYN"r"AD 1",76201 No rOSponse'to collection efforts, W 07/02 1 204 147124 J~TRNBE PA7T% ,.76C03 " DBNTONB¢' pATXY l'7b20f NO/respo se to collection efo?ts~2 120.00 tv d 102 146960 JtLL60x 223 JUDY I3 LIB0R RONALD 5/10/82 0/14/82 12/27/02 327.60 J AUEREV TX 76227 ?PAUUD 22 f1EY TX '!'76227 00 response to-Collection efforts, t ~kl DATE t2/28/82 9', 50'. F L O W it E M 0 R I A L H 0 8 P 1 T A L i BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRE 12/31/82 D E DATE OF BALANCE aaawa PAT16N1' tU.ME rwww www`w GUARANTOR , CI^NAME ywwww^_^ Y DATE-y _RIMOF^ 0PATIENT NUMDEN ADDRDR TZIP ADMITTED DIBCHAROED DATE OOF OF ACC ENT JtlBE L PFX NUMBER ADDR, CITY, 8T,`ZIPr - » »»V ^ 1105/61 1/08/81 12/27/82 74.91 ,BGNAVIDE6 1 09 WAYNE DENTON TX 76 TX 76201 NO response to collection efforts. lOl 20.2618 60 ONAYNE JOSEPHINE 203 DE VON ppz IfARTA OqCC7NAVIN176C0 DONALD 4/22/82 4/25/82 12/27/62 910.35 Lot 386631 M3VNERRIN TX 75056 fRISICQ TX 75034 Arrangements not kept, 38.00 ~ TIE COLONY , JOHNATHAN 4/Il/82 12/R7J82 ^ 201 390.197 6I8LF KABONDRA 6LCRY 8191 316 FAY 0181 t% 76801 DENTON TX 76201 No-response to collection efforts, 38.00 D NTON HAROLD 1!03/62 12/27/02 i 201 36A604 g0 9LJNNA JOSHUA 4gpL1tEMAHONiNO OH 446b1 No response to collection efforts. _ I! DENTON IX 76201 ALLIANCE 12J27j82 125,50 L g M pt NONHAM , HANK 7/03/82 ' 202 371420 b~gN~t1AIN AT 2 BUSH 9T% 76827 ASVpRNYMAIN AT 2,BX 190 TX 76227 No response to collection efforts. A 6 8 5/20!82 5/22/82 12/27/82 576.45 N g1 M , 102 375295 gINOHAUS?IN , HEATHEN N$oT06p1.IVAR TX TERRY 765201 No response to collection efforts, j DUENTON TX 76201 JI2B 1J 417.65 iv S RD , DANNY 3/29/82 3/31/62 12/27/82 1 104 249730 4TtR1D {~0X i88A OAYTX p B04 506 TX 76266 No response to Collection efforts, ! 6ANOPA 7X 767b6 8 NOER 38.00 MEN t RONALD 7/07/82 !2/27/82 Y 202 226316 a~NTONANNA INN RM'1 aATXEB 76201 TDNOYaNANA INN AM 105 TX 76201. Unable to locate. 8IV 3/ 13/82 12/27/82 81. 76 J I, EDDY D2LAND EDDY 201 3&5856 11q]MN RUDDSLL fit Nn AEDDELL TX 76201 NO response to c6118Ct10n efforts. DGITON TX 76201 C~NTON 12/27/82 75.00 V p , BARRY 5!02/82 , 203 12526 0 R OX 1080 BANTX 76201 tl~N4pBOX 1080 TX 96201 No response to Collection efforts, ` 16Ni~ DE T RICHARD 3!16/87 3/19/82 l2/St7/82 354.4q 0N 372 TX 76266 No responso to collection efforts, 102 377010 NORNO 87 PO BOt 37aYKPER 76266 SA NOgn R 8A1106R 5J22/E2 12J97/02 41 00 a JOI Bipg LOU189 8T 111 JOI gpq 2192b1 DEN0U[BE APT 3 TX 76203 DNTON TX 76203: NO response to tollectl0n efforts, 4 fij 11ANDA BpSWEN WANDA J 10/14/81 10/19/81 12/27/82 172.58 III W l03 35188 IJqO5 HICKORY TX 76201. ENTON HICKORY TX 76201 ' No response to collection efforts. V J u { I, 1 Y~ 1 DATR 12/20/82 9:59: FL 0W MEMaA I AL H0SP I T A L PAOE 4 BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/87 THRU 12/31/02 PATIENT NUMBER PATIENT NAME A*** *N*** OVARANYOR NAME *m** DATE DATE DATE OF BALANCE PFX NUMBER ----AODR`rCITY, -BT,yZIP- -ADD , CITY,9T, ZIP ADMITTED DISCHAROEA WRITEOPF OP ACCOUNT 16 - - - - ----------Z 4/3 101 394227 DpENTtltNEM JANTX 76203 D~N~O~EY [)ATXD 76201 No ?asponse to co/lection effort ea 618.49 1 3300 E CKINNEV 3 0 MCKSNNEY V 4/25 If wa lOS 3981378 OL~~ONN B~ETXV 75006 C99AOL L&N 8TT%LEV75006 toaesponso to collection effOrtsga 15.00 t,. B 201 422212 MIN E COT Y H VICKI 7/05/82 12/27/82 65.50 OT,l63.TN3N LAKETXM 76201 p NLDJ363TWtNLAKfiB 11HPTX 76201 Hoved;'left no address; `r T0O Rot 397331 IgqRJIJNy CHRIMPH- A A2IR1 DENISE 4/19/02 12/27/02 80.55 tV GNTUN2 FAY TX 76201 DNTQN2 FRY TX 76201 No response to collection efforts, 4/82 06 7/82 202 376129 78UUYH RUDDEi.L N 68tXH 76901 ORNPIN RUDDELI 038 JOTKPH.76201 NOOresponse to COI)eCtlUnlaffort , 154.00 V 101 330327 H ANT YVONNE ORRpYA14T JOE 5/31/92 6/04/82 17/27/07 37,85 D TO nLEY NS TX 76201 pHNTOWAOLSY N8 TX 76201 Arrangements not kept, : 201 409441 QURC fOHLAND JOHN 3US1CH10HLAND JOHN 5/27/92 12/27/82 23.50 ` DDlE1NT N TX 76801 D3DBNTOgNpp TX 76201 No response to collection efforts, 51,60 201 407389 OJE b 120 PEATXES 76857 POJEF 120 PETA%HEB76959 No 5/0/82 response to collection efforts, 1YRRNq H 3 110221 019fOHOPKINB DR SETTX 76201 NOHOPAINS DR HO TX R 76201 No 2/06/82 response t0 collection l efforts. 64.50 L 906.05 203 405399 ffiX6G1,Vr M14P . 055, STEPHAN75067 DBNTtltdOT 'S8 QGTXAg76ROl 151014/62 Se t0 collection efforts, 97.LV HROW 201 402461 pTLOT POINT' OPHTX'A 76258 jAnK POINT 6FT%LiA 76258" No 5/04/92 response to collection 3 efforts. „ 301 364638 CCg 0 NAQ tl F ANTHO11Y C33A¢SNA , JOHN 1/1^./82 1/13/82 12/27/82 33,00 p NTIN TX 76801 gDHoNTON TX '76201 No rosponse'to collection efforts, 201 429991 ~6lEPONOER TAMMY yCy M1vT CHARLES 7/27/82' 12/27/92 43,10 V DSffJJTdN TX 76201 BNTON `'TX '76201 HoYed; loft no address, i ' r , I ~ 'spy - 1 i i _ S j, DATE 12128/82 9;99; PL OW 11EM0R I AL H08 P I T A L PAGE 5 h BAD DEUT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 PATIENT NUMBER 4rr4w PATIENT NAME 4*04 ♦rN44 GUARANTOR NAME wiFk4 DATE DATE DATE OF DALANCE PFX IlUMtlER ADDR, CITY, ST, ZIP ADDR, CITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 002 359422 CI1ALLAWAVY~/INN KIMBERLY CiALLAWAY N THOMAS D 3/SR/S2 3116/82 12/27/82 750,00 8l 1DCEPQNT TX 76026 1 8~ hoWeRT TX 76026 No response to collection efforts, 0 104 219600 ALVERT WILLIAM C~ALVERT TEREBA 1/07/02 1110/82 12/27/82 MNt 254.70 VILLAGE E MId02 709 BOYD ON LLTX 76201 DEppqNNTON TX 76201 No response to Collection efforts, 12 201 219600 SG0 TVILLAGE EAST'N802TKA'176a0i DHNi0NOYD TET%8A76201 NoOresponse t0 collection efforte2 20.00 t0p2g LL 103 349118 3~NT8OMAUD09LL NON7XEY76201 OEN70NLnAH JOTXNY76ZOl ArOrangemonts2no08ko/92 pt 12/27182 702.57 S 395209 04OLINDBEY ANfl 07N~, OWfA T% TOAK.N206 '/.F LAWANL 76 LACE 4/01/82 02/27/02 25,00 V pN T% 76201 _ V C N EO0ptl 201 No response to collection efforts. 201 300038 60NTNOP7UNE BHATX 76201 DENTONPTUNE PAT% 76201 6Aengements not kept, 12/27/02 135.09 207 56028 L DUppB~1 TO VAN DENVENSITY CITY 4TN2?X 76201 RN TX BITY CITY AP48226 76201 5No response to collection efforts. 57,00 /27/82 fOl 364000 DOCABULANE LAUT% 76234 MA URERRSN JATXB 76234 2No response to/02/09 efforts, 343.55 1r cp 12/ 103 166231 RTR EGOX 3 TRAVIS 1gA VINSONV1LLE LpTXV 7bZ01 3NO3retBponso to2collection ef2or82 100.34 DENN TX 76201 DTTErvN4q 0p efforts. 1362.10 101 2828D5 0LIgO FLL SUSAN TX 76234 ATURX H2 B GATX 76234K No response to 4/13/1 t2/27/02 204 211086 CAST S1~1~1LAND DR ' JUANITA 1fOTI1030iLAND OR VICTOR 1/24/02 12/27182 16,00 t 00NTON TX 76201 DENTON TX 76201 No response to'collection efforts, 201 385815 C8Ag LgtNMpM CEDRIC CfAR 414q,tNM , JOHN 3/13/82 12/27/82 101.00 y OfiNTONCDONALO„ TX 76201 DENTO9CDONALD 'TX '76201 -No, response to collection efforts, 12/97 201 410324 tl T QINWR10H7 1RATX 76205 BNTONRUDOELL #49 IpYX 76201 No fesponse'to collection efforts/02 230.50 A V y twit 5 hr ` '1 E 1 5~ i I 1. DATE 12/20/82 9:991 FL 0W fiEM0R I AL H00 P I TAL. PACE 6 BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/02 THRU 12/31/02 ~w PATIENT NUMBER PATIENT tlAME 4*** GUARANTOR NAME DATE DAlr% DATE OF BALANCE FIX NUMBER ADDR, CITY, 8T, ZIP ADDR, CITY,BT, ZIP ADMITTED DISCHA11GED WRLTEDFF OF ACCOUNT r r..rr«.. -rr - rr rr«..« «rr •«r. - _ «_r__rr«_r rr..r«r«r #bF 102 190207 SDALn6B MARY 75065 No response to collection efforts, 754. l3 TX 79066 LA1tESl?AL~ 8 BO TX GLENN io EARKE g g g lot 403121 9IOB00ldNIt BRAE N217UBAN VASDtlNNtE DRAB MQ~7SUSAN 9/06/82 5/12/02 12/27/02 2633,70 4 D NTON TX 76201 DENT N TX 76201 Arrangements not kept. CHPMA 101 267385 6E N?()OVDRA LN RtlSTxARY76201 JONgpAUDRA LN 60TkE' 76201 No response to c011eCgion ffo 2s/B2 172.97 11w C t ~j A CHn SUM TT~r ORSVE MS ppEENN _ 201 400366 3bM 0oFa PiJORTH DRtLfi LOTX ttE 76201 DLNTONOPWORTH T%& 76201 NO response to Collection efforts. 100.00 lw ~pp ct~~{ LL 201 426247 JHU3B6tlX BS KAREN R7UBUOK 03 KAREN 7/18/82 12/27/82 46.00 ' 1r OOUffttyy~~ TX OoGUNN 7X Unable to locate, 201 447060 $LAR90 CUARL88 N232 DEBBIE CCL0ApR6Kgn CHHApRL89 NQ32 DEBBIE 9/16182 12/27/82 46.35 LEWI888888VIL E TX 79067 Li1lO1! V1LLH TX '750111 Moved; loft no address, 206 21.3916 162TNNWOOD BLLTX 76201. DE12a~UNWOOD ELLA 5/06/82 79201 No response to collection efforts. 177.50 V 101 405738 LAKAKERgKIEW Dp LINDA DARK CASNBTT LINDA 5115/92 5/18/82 12/27/02 877.10 1 LAKEVOALLAtl TX 79065 gLLAS 7X `75217 No 'response to collection efforts. 1 404756 S~090 kUWOOD OARTX 76201 N~pMHDWOOD oATX 76201 NO response to collection efforts/82 51.50 j V T NNN CCgCqoo 1/26/02 303 145771 MUM M6ADOWCRBEp, ' HARTX 76249 NROM11MMAD OWCREFK MsTXAEL76249 NO response to co3118c821on ef?or2ts/02 573. 13 dr PA CC03 ~~1qA " 5/13/132 12/ Q 194654 9 3AMDOWCREBK TAY7kR 76249 KQUMMEDOWCARPK M+ITXA ~76Q49 No response to collectidn fforQt /SQ 844.60 1 251868 pp~Cl~.•EWERS NICHOLAS CCppLHr01+~NR ROBERT ,12/29/90 12/27/82 50.00 EWERS tlk 940 TX 76201 ft "N 0X 940 " Tx 76201 NO response to collection efforts, ~ cCaO f poCn1Xx CB&OTtt epf%t » fOl 363055 RTID08PORT4 AUTTXN 1176026 9 1110hPORT4 WITX''^'76026' Arrange ents not OQp02 12/27/82 104.93 I ri'~ ~Z 4 DATE 12/28/82 9:59: FLOW 11EM0A I AL HO3F I TA L PAGE 7 BAD DEOT 1'RAN8FER REPORT FOR PERIOD 12/01/02 THRII 12/31/82 V PPF%ENTNUMBERN yM»MABDR, CITY, ST,4ZIP Mxa~ADD", CIT",ROT, AME ZIP RN* ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 201 402446 pCOLE BOX i76 ' EUGENF WAOE , 11ELINDA 5/04/02 12/?7/82 02.50 4, - BANGER TX 76266 LITTLV ROCK AR No responto to collection efforts, 201 405324 Cc9@0OpLEMAN BONITA LEYgyONARO OLLIE 9/14/82 12127/82 38.00 DENTpNENUE E APT 109 TX 76201 MARLSIJX 324 TX 76661 No response to Collection efforts. 102 209547 COLWELL V1RFN 031.W@IL , ROGER L 1/29/82 1/31/92 12/27/82 301.10 AT 6 BOX 724 NT 6 BOX 774 GA114ESVILL TX 76240 0 INESVILLS TX 76240 No response to collection efforts, 102 160187 p ON6BUn% 1240 RIPMY TTERESA CPON8k99OX 1240 RINEY, R NNY 6/10/82 6/18/82 12/27/02 849.01 RD AD y DEN7ON TY. 76201 DF.NTON TX 76201 (loved; left no address, 5/24 182 IP/ 201 408608 i1~Y8NRUDDELLAR , HOPTX 76201 gGALAY 2582 %REV ALENr8MF;6x01 No respo se to collection efforts 92 f0t,5U ` UUBB 00 gg(O~ 7pp%( 6/2 202 ti4513 O29T ggROLL BLVD OSOT%1k76201 882ENtljM8STOAK C/0 J CDRTXNI76201 Ho edq/left no address, 12/27/82 75.00 L 202 42403 ~gNOOMNYDEq BRSTXA 76201 111 00814 NYDER BDYXY 76201 No respo 5e to collection ofo is 82 L624. 75 202 306581 ¢ RN , JUANIIA CORN , MARSHALL 6/09/82 12/27/02 225,78 B DArNR TRINITY TX 76234 MEWAfK AS F TX 76070 Unable to locate, 102 223834 BRIO POATLL TAMMY TX 76076 WIG$P RILL JD TX K 76026 Arr3/09/02 angements not "pt. 12/27/18 627.6$ k► 0 fs t 0 , 12/ 101 401096 agNTONOX 222 , FRETX 76201 D NTOAUTUMN OAK. 81TX N76201 ' No/esponse to collection effoatsg2 103,25 102 401604 COX MICHAEL C % STEVEN 5/31/82 6/04/811 12/27/82 197.50 `I ss gg yy0pp1y RUN TONOX 222... T% 76201 tlENTOtjUTUli'I OAK TX` 76901'. No response to collection efforts, 201 350961 ?LnP 206 0115 JOBTXA 76201 D£NTMALONG D8TX1B76201 NO/ esspO se to collection efforrts. 2689.90 101 415624 PIMRTANYBY DR JEFTXEY 75096 8T2LOU1AARBLE ARCH L JEFFREY63123 U6.,25/too lOCa6 29/82 12/27/82 16'59.65 V Tilt COLO j f1 r ~Xltt' .'..51(57 f.,: , . rm ni'-. li i;arf.•R~'7 J~Yp'q;~„C'(~~ .r- • 4, DATE 12/28/82 9:59: F L 0 W 11 S M 0 R 1 A L H 0 8 P I T A L PAGE 8 n BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 PATIENT 14UMBEN **0** PATIENT NAME •~+F x rxMar GUARANTOR NAME rrwr DATE DATE DATE OF BALANCE PFX NUMBER ADUR, CITY, ST, ZIP ADOR, CITY,ST, ZIP ADMITTED DISCHARGED WRSTEOFF OF ACCOUNT V !01 403816 87%KJC {LLEBOX iS, PAULA 76240 STAR ~'ERD 1JE OOX lB EDYX 76240 No/response todcollecd2ion eafortsB2M 128.24 201 376137 ppCTARRRHALL 12C3 ' MARCELLA tCditAARB MARCELLA 2/12/82 12/27/82 38.70 TWV ETA TX 76204 TWURETAALL 1203 TX 76204 Moved; left no address. /22/02 203 239145 Btl4TEYPTUNE RiCTXRD 76201 9I T j4A NT N IIPTUNE JATX 76201 Agra 9ements not kept', 12/27/82 188, 00 V aN DD 33 0 WNNW[1 J 3 Ofl MHA I N 0 .MHP Ill 102 347401 LEW19VtLl& JD TX 75067 LWtSVILL~ J T% 75067 ko/3esponsa to 6co11eet1on eFfo ts82 066.00 pV4RADLEY 047 3pp EpRR lot 399216 90 JOBTXH 76701 DEDAUB 61,1N DLEY 047 ' DATXD 76201 No gespon8e to collegteon offorts7/82 537.25 1 1 412262 0pnnTTV1aaB 11ARALEtc WALLIN DAVID 6/05/82 12127/02 63.00 D N7ON X 347A TX 76201 Unable to locate, 4 pp 101 364053 10NT~A88EY 26 SENTx1106201 lO~TUA88EY 013 BE7XOI7b201 J/01/82 ft no.eddress82 12/27/82 263.56 4 nJ IN~gl 3DU86 p8 pp _ /92 ' lOl 418913 11, It U1LKEY RDDTX 76201 DHNTtlAUITA N8 J07X '76201 Ilnabie to loceto6/27/82 12/27/82 22.00 201 408484 DPTOHRRTY TIMOTHY DDDD UONtrRTY TIMOTHY 5124/82 12/27/92 70.76 ; Y AHfiEB MHP LOY 12 6 5 1 WORTH OR NS n NH40 TX 76201 tDg3tNd4Y~rd: T%" '76201 No response to :collection efforts. 201 409426 1N?ONHURCHILL CA OA~TXCN 76201 DENTOOWUROHILL OR s GA R RICµ76401, No 5/27/8a to colleetlon efforts?/82 B9, s0 61 I r,r... DtUN TrB gD101Nq 201 417194 OLNTSA N I 11P RT 0 1100 808TH 76201 [RVINgAIRPORT.FREEW PAYE 60762 Moved~0left no address. 12/27/02 38.00 1r N T 98 201 369256 oD~MTONY HALL 0119 JAMTX 76201 1&FY HALL 0115 JATXB '762o, Moveda01e8ft no address, 12/27/Q2 00.96 y 0 101 402602 pBgqTATTOtJ6g0pxx , JEFFREY ERggtpprTONUpOpxx CHARLES b/09/82 6/16/82 12/27/82 75.00 COMISBRCg 263 TX 75428 CtlMMERC6 263 TX' 76428 No response to collection efforts. < V rl , DATE 12/20/02 LO:00: P L 0 W M EM0R I AL H 0 8 P I T A L PAGE 9 DAD DCUT TRANSFER REPORT FOR PERIOD 12/01/02 THRU 12/31/82 PATIENT NUMBEH 0+~44M PATIENT t!/,ME ♦ M4M44 0l1ARANT, NAME 41Ek4 T$ DATE DATE OF BALANCE pFX - NUMBER ADDRD-, , CITY, ST, ZIP - 2P CITYBT, YIP ADMITTED D1------- ---TEOFF ACCOUNT 201 ~320211 EG0~.08TDIJ____......I tliAH__-___••_ EOGLF00N __-_",utlINAH 1fi01/0l y 12/27/02 `Jr972y66 AT 2 LOT 23 VACATION C L AT 2 LOT 23 VACATION VI DENTON I 76201 DENTON TX 76201 Unable to locate, 201 399097 9HAOYEAC LOT lb STEPHANIE 4O7Rg9 SHADY ACRES DON 4/29/02 12/97/82 38.65 LITILE EM M TX 75066 LITTLP ELM TX 70068 Mov^dl left no address, 201 303778 EVANS BARBARA EVAN: JOHN 5/9/02 12/27/82 59.15- RT 6 BOX 402A 0i b BOX 4B2A No response to collection efforts, OA11498V1LLE TX 76240 GOVO~ASNgptUVILLE T% 76240 201 422246 DgVAIIS CMTONI~HANDLE JOHT% 76201 DEN70NNHANDLE JOTX 76201 Unable to8lacate, 12/27/82 36.00 4r gyC3 ii k01 130450 18101CDONALD 11AR Vg~g/ANS TX 76291 DEM O~CDONALD ItA r2 12/ TX 7690! No asp nesa to eolleectl8on efforts/B2 1417.!30 1r 201 408195 P-VA148 TAMMY LEE RILL 5/23/02 12/27/92 39.60 31112 TITAN TRL 3014 TITAN TAL 14v D NrOON TX 76201 DEN No response to collection efforts, ApEri ON TX 76- O1 V FAI t0l 339028 nBNTk60% 630A DoDT% 76201 RBNTONOX 630A DoTkY 76201 Unable to8locate4/07/82 12/27/82 3676,60 4 8 211 333492 FARRIS ELIWA ETH FARRIS JAMES 7/23/82 12/27/02 1500100 DO2QOBEWNARA TX 76201 ~t~$ONBERNARD TX 76901 NO response to Collection efforts- lot 382481 DENTONAME KE1 O6/129/ TX 76201 NTFtNAME' K1TXH 76201 Arrangements notYk p2 /82 12/27/82 1142.05 201 409995 5489ffj ILLINOIS CaNAN a6gLW ILLINOIS Lu Tx 70233 Unable8to81ocate, 12/27/02 38.00 V DLLLA TX 78x33 tDbA00RgLLTA9 ATE 10S 307472 D0R 1 21 It OAK CATY%A 76201 DI N OAK DOTX 76201 Arrangeonts not4k Vti 82 12/27/82 502.10 DON ON T 4 1 I OROE t IOR:E 2FiRTh 01 430694 DONTON HORT%E 76201 1 NTOI! HOTXCE 76901 Arrangements net kept, 12/27/89 96.20 V _ l01 369101 ` I ATU RSHARLEB BODTX 76934 D6CATURHARLEB RA?~ON07bR34 Arrangemo9ts not6kept 82 12/27/02 236.60 DECCC §4 J..at.(hn, o -IA c1,. f , g'. DATE 12/26/82 10:00t M F 1. 0 W 11 E M 0 R I A L H 0 8 P I T A L PAGE 10 ` BAD DEPT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 PATIENT NUMBER pr4#4 pATIENT 1•!AME 4##4 p4#~# QUARANTOR NAME DATE DATE DATE OF BALANCE PFX NUMBER ADDR. CITY BT, ZIP ADDR. CITY,ST. ZIP.`«.~~ ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 16, 12/2 202 431346 GgrLaTIVE MHP RT 4 LOTTTXTH 7b201 EDX~~IUTIVE MHP RT 4~LOT$xiAR06Q01 NO resplon8e to collection ffforts7192 38.00 rt 204 286328 tO$DlttRRZlA0 OUNA , ANOELA MIA' , DAVID 9117/82 12/27/R2 37.00 DABN& TX 76201 915 AENTON CHESTNUT 7X 76201 , Unable to 10Cate. I 4 , lot 269876 1O0E4 CAK LANA 0 2 E OAR ' KELVIN 3/26/87 3/28/62 12/27/92 4438.66 ` ggDHNTO~ TX 76201 OENQTON TX 76201 Arrangements not kept. 201 402689 DBORIEBOX 1076 0INTX 76201 AHOR~t BOX 1076 , 0INA 9/09/82 12/27/82 29.48 D 0Hyph"ROJN TX 76201 Arrangements not kept, 6/01/82 M 201 41124q bfibTJNPITER KELTX 76901 DENTOJPITHR JUT% 76901 Arrangements not kept, 12127/82 502.00 I V t p 201 404339 L0ptl0pRg{~AU~/TH JACOUf pOI4Bry0pRptAiTMypERLINF Nl66LARRY 0110182 12/27/82 81.50 pp[0p ORAp9VlNEANO TX 76090 CRAfiEV[NE TX 76001 Unable to 10cate. i 11 103 60808 R26LE CIRCLE JABtlX 76249 qu LF,CIRCLE J£TXY 76249 Arrangements notlkeptC61 12/27!82 403.66 V 101 377630 A1OlLDCIRpfANF1{ORD PATRICIA 900ANNUEl.R98 DOROTHY 2/18/82 2/22/82 12/27/82 030,40 ko ~HNTON TX 75201 66DENTOOON TX 76201 Moved; left no address, 204 33613 Q T; WORTH CA,+026RTX RET 76Q01 UE o Td1J WORTH OR Nb6EVrxETT 76201' No reoponsse to collection efforts?/92 93.30 11 Iv S 199 605252 BOWER 11AROU @ LLif , . , 8/10/76 8/12/78 12/27182 336.00 1 1. 76201 14iO1LL. TX 76201 Arrangements not kept, 2/05/82 102 300512 IQIoNHRNARD RSBTXCA 76201 DBNTONERNARD JOTX Y6201 Arr ngements not2kept/8~ 12/97/92 167,48 101 404699 ~061.TOY 732 LULA HHAMILT90g8g 732 ' JOHN 0/12/82 0/13/82 12/27/92 1303,70 [f;W NVggIL.E TX 79067 HpHCEW1IISVgntlgIVVLLEQQ TX 75067No response to, collection efforts, w 101 359120 P1L~Y?J8 1124 SHARI 7bR523 P~LOT% t$4 , TIT%J 76250 Arre 12/9ES not 12/27/02 477.60 P D kept, 4TtS'1 W 1 ` DATE 12/29/02 10:00; F L 0 W 11 E M 0 R I A L H O S P I T A L PAGE I1 V BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 PATIENT NUMREH rxxxx PATIENT , ST oioo* PF% NUMBER ADDR xxxxx GUARANTOR NAME xxxx DATE DATE DATE OF BALANCE r_V_`_C1TYY 8T1 ZIP P ADDR, C1TYri8T, YIP ADMITTED DISCHARGED WRITCOPF OF ACCOUNT 201 429191 HpARDEMAN TOMMY HAaARDEMAN , TOMMY 7/23182 12/27/82 92.23 JUSTON 573 HWY 1365 TX 76247 JUBTBiNX 379 HUY 1369 TX 76247 No response to collection efforts, 102 393933 HAYE9 ST VALORI AYES YO JAMES E 12/31/81 1/03/82 12/27/82 943.73 BOX 160 pp a0l AUBREY TX 76227 AUDREX 160 TX 76201 Arrangements not kept, 42$199 1H1E6NDANUrH WOOD ORAYLON H16D 0 WOOD ORAYLON 7/14/02 12/27/8a 42.00 4 OENTON TX 76201 6ENTON TX 76201 no response to collection efforts. 102 334243 jj~ [R1/ 1N STONY HILL RANDY A 9/23/82 5/29/82 12/27/82 207.07 8RIDCEPORT TX 76026 6RIDOJPORT TX 76026 No responso to collection efforts. 701 426346 HRPSCN CYNTHIA HOPS014 CARY 7/17/82 ,00 436 N CgOWAN 436 W C061AN 12/2%/82 131 t60 LEWIBVILLE TX 73067 L WtSVILLE TX 75067 Moved; left no address, 102 387397 H114ARD GENEVA HOWARD ELRENO 4/11/82 5/21/82 12/27/82 23.60 4 1 LOCP 288 4007 401 LOOP 28$ 002 D NTON TX 76201 66nlpE~Nt014 TX 76201 No response to colloCtlon efforts. ly 201 425637 PI ONUPOINTN , TERTX 76208 PILq OPO1MTN CU TX 1S >6a38 NO r7/16/0 esponse i0 collection efforta7/8a 63.110 101 2$1105 88rrNNp%MppA22NM DENNIS Dy]N A2gN I DENN18 7/14/82 7/18/82 12/27/82 60.00 AUDREY3/N MAIN 8T TX 76227 AVdREY3/N MAIN ST T% 76227 No response to collodion efforts. 201 403782 A 11TIN 1000 ANDTX 76201 D CcNtgOWNWtIOD TX 76201 No 9/Oa/02response t0 collection effo ts7/0a 39.40 201 408094 QjRO9ILL CED TX C" 76201 nHN T O N NILLS , CED R IC 76a0t No r5/23/s8eto collection efforts?/82 41.00 101 379909 ti07oWRt1AK 0216 I PAT TX fH 76201 JAJjYERT N216 , AM TX 76801 Arrangements not 2/26/82 12/27/02 40.00 V T0O99 44bb gRp sq 101 367727 pfLtlTPtl1T HOWARD 76230 P1L0 ON OT6POINT NbTxRO 76298 No eespon8se to colkept, lect eon eft'ort~7/82 339,91 lot 75023 JJJOHNSON REBECCA ~1 HN$ON CAROLYN 3/01/82 3/04/02 12/27/82 1044.69 I OtONORMAN ST O6 NORMAN ST DUN TX 76201 D'NTON TX 76201 Arrangements not kept. V i t . i sc ~ aasisr;E'lpk~ ` DATE- l2/20/82 10:00: P L 0 W 11 R M 0 R I A L H O 8 P I T A L PAGE l2 } DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/02 THRU 12/31/82 PA PFX TIENTN14VM g q Aw##ADURT1CtTYl2A8ZIP #k### o1~ARANdR NAME #A#w 0p CCgg ADtlR, cITY,ST, Ztp ADMITTED DISCHARGED WAITEOFF OFDAACCOUNT 201 417348 H 80N ROY gpgN - pJH MCDONgLD TX %6201 UPSOCDtlNALD , ROY 6/21/e2 12/27/02 48.00 p TX 76201 No response to collection efforts, 102 16OD69 $rNg18 Bonn [a JONES , PAUL ~r AUBRE POX 43 AT I BOX 43 9/27/92 6/01/82 12/27/82 1691.40 102 TX 76277 AUDREY T% 76$27 No response to Collection efforts. 333294 ~ dEDRA ONES 0J 656.30 V DJNNJ8ONAOEDRUSH DRIVt t% 76201 pCNTOMAlInRUSH DRI~lEMA7X 76201 2fosre 9onesc to Collection efforzs!82 204 90094 ONEgg LEONARD JONES LEONARD 4116102 Ir. OCN70M RUDDELL pbS 0a12 S, RUDDELt 065 12/27!92 70,75 TX 76201 DENTON TX ' 76201 No response to collection efforts, lot 402982 ,p1ONgga TA14MIC ,]ONES , RICKEY 1, V C6NTONHADY SHORES DR 8818 SHADY SNQR&e DR 6/02/D:' 6/04/02 12/27/02 1267,00 ti TX 76201 DENTON TX' S^)t Arrangv,,mts not kept, 201 246903 ,,1111a0Rp3A p N ON tATTIMORE CHERISOA jjCyAIATTIMORE ' CARL 0 9/72/82 12/27/82 99.79 u ~r 080 TX 76201 D NTLN TX 76201 He response to collection efforts, 10t 410369 JOUR2DCIC 706 LONNIE JOUROpggN LONNIE 9/30/82 6/11/02 12/27/62 1e. 00 b CNRI77111HASHA OK 73018 CHyyICKHsABA 706 OK 730IS Arrangements not kept. V 14, 201 423541 tlYggNeR WELCH STKkrTRENDA f 0 fiN0 WSLCH 87 BRENDA 7/09/e2 V ENTON 12/27/82 30.00 y TX 76201 D N ON TX 76201 No response to Collection efforts, 201 419190 K FF R STILES`E`$PC70R JOE 6/27/82 12/27/07 Moo V D NTNTOR TX 76801 ENTON T`X V 202 311209 tt6gLLV STEPHEN BOpE~rLLL{Y, atePHEN7b201 No7r5o62e to Collection efforts. 12/27/O2 91.29 1NJ OONN V 9tlE61tIONOONDSRRY W 6 t% 71201 dE18UjNDONDERRY B36 t% 76201 Arrangements not kept. 201 419614 KEMP PATRICIA KEMPgg PATRICIA 6/28/82 12/27102 176.00 HANOCQQ Rk 214 TX 76266 SAW ENX 214 0ptt pp Aqpq gg Appp TX 76266 No response to collection efforts, 101 398966 LQW18V1LLEWODD, OfitlT AH 79067 L8 0pTT81 W[OVILLfiWOOD. ONTXLD 79067 Iio6/ 6/92 no ad28182 12/127/82 1008.40 - y 101 390769tlAMOAkOX 969 Dfi0 7k 76962 RgANOKSX 269 ORAIO 4/10/82 4/20/02 12/27/82 1043,30 0 TX 76262 Arrangements not kept, f Y. .i Yft ` A~ ,..,,w,.w....~...- PACE 13 _ DATE 12/28/82 10,01; F L O W It E M 0 R I A L N O S P l T A L / BAD DEST TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 cc wwwww PATIENT 1?A11E wwww wwwww GUARANTOR NAME www»DMI7TEED DISCHAROED WRITEOFF OF--------- PATIENT AACC-UNT 14UMDEN ADDR, ENTY1 ME 21P AD DR, C1TY,8T13:IPA PF% NUMBER 5/19/2 5124/2 12/7 SAM NN r r¢spoese to Collection of ortsiDa 396.66 tot 343962 PaB9IW OAK N3A ASHY PRIJig CUT WILLOW CRK kD CAZp g6301 No DCNTON TX 76201 I 6 4/131132 4/14/82 12127/82 1008.40 V i JOSEPH MAt~ONE , JOSEPH ltli 349293 IgF[gAI4A INN N3t4 TR PICANA N3t4 TX 76201 lioved; loft no address. D TON 7X 76701 DENTON 6/10/82 6/14/82 12/27/132 126.31 MOARI84ADVAa LINDELi 101 413930 BA0%MAPVAZ TX AMANDA 76272 VA pLLEY px _ VALLEY ection efforts. VIEW Cy~ VIEW TX 76772 No response to Coll i0 75.39 2 84491 MA RTIN%E392 2ND L EECAIiTHSA PORTdO%E 92 2ND 6 PECANNTNIA 6/f0/aa 6llect' 1orts' 2 E C I,TX 76266 SANNbrk TX 76266 NP response to collection efforts. REZ , CVTXHt76266 No response to Collect on'effo25182 993:78 . 98 105 84998 sHRifl 702 NEATXCR 762b6 BAMNNOr3 282 304.06 $AH WWSqAq ppHHAp tt No response to collection tefforts. 101 348547 PH9EAVE 0 N6 SONTX 7~i20f 13ILLtS ON20 JEFAI i 12/27/82 303.99 4 DENTIN r e 2f 311142~N90NITAN TRAtL 1 PETER CC99 TX 76205 DBNgON;TAN TRAIL 1 pETXa 76QOL Arangemnts no kept, T . 1r G c 101 390989 yMyC~0J98 C~tPf1NDBNCli1Nt60 T P9XYN 79074 p1pl~ngNWEPENDENC9 NIAOCT9,X 5 78074 Arrangements notlkept82 t2/27/82 665.80 PLA14O 13/ 101 405233 C~NHRtAI DELIVER 13'1 EUOETXL 76299 MIRRILL DELIVERY 1 CHRtB 13/82 0/14!82 12/27/84 416.90 a Mg TX 76259 No response to collection efforts, `PENDDER PAT 7/30/82 l2/27/92 50.00 20t 42366 g L R JOHNNY MI~LEK fi~JOK 7% 76266 8AN(ItBOX 483 TX' 76266 ' No response to collection efforts. p MARTIN 1/11/82 1/16/82 12/27/82 26.27 102 143537 5jbREW OAK 141LMA b? w OAK , TX 7b2o1 N ou TX '176130 t' No response to collection tefforts. 681,76 ,iw VVMI~tNTON RR`` tat 387090 ARGYLE X 116 COL~91187RX M76226 3ULBARLXYLER SCOTT 7/09/132 7/10/9 p TTTTT OK 74119 " No response to collection efforts. M p JAYS 0p bt`~ LOUIS 3/22/82 3/26/82 12/27/82 288.50 tat 360504 ~j$OLt1080% 179 Tg 76030 CHICOQOX J79 TX 7b03o No response to collection efforts. iw r r '4SlrF,i .q4u ,N,. :,x,43 kteJf:,l;dTAf3> + jj4* L(; I Il s~`,i PAGE 14 DATE 12/28/82- l0; 01: F L O W I/ E M O R I A L H tl 8 P I T A L ♦ BAD Dr"T TRANSFER REPORT FOR PERIOD 12/01/82 THRU !2/31/92 { PATIENT NUMBER PATIENT WINE 4*** gUARANTOR NAME DAtfi OAT! DNIE. O+ --BALANCE- PFX 14UMBER y_r-ADDR, CITY, ST,~ZIP ADrR, CITY-)ST, ZIP------ ADMITTTED DISCHAROEp W~~T£OF OF ACCOUNT V 102 310972 Mp D 6gOX 11` LAKFBIIORBN1ATATE UNION it LAV,ESHOH~EN6g8TA7E 4J01/81 4/03/81 12/27/82 269.60 4 . DNOtJ TX 76201 DEMON 1'X 76201 No response to eollectlon efforts. SOl 383166 Vol' 2 BOX 503 TOSS MOORE DANIBL 3/06182 3J09/8k 12/27/02 f003.S0 bb AT g BOX 103 TX 76266 NO response to Collodion efforts. 8AN ER' TX 76266 SAN ER P/14/82 SNT~N MA88EY 7X 76201 JAMIE 76201 Arrangements not,kept. ~ !2/27/82 371t- 70 SOS 376974 ~O JAM DE NT N MASSEY 106. l4 Ba BtTkY 76067 No response t0 c6/ 1 o110cslon efforts, 2 e OA7E Z 4 lot 404996 '2j'*V~NEE JDA7k 79067 2 LEW IT V1LL ATE gBDAL 2 12/27/82 1184.60 y Tk D 70060 Arr5/16/82 an9 nts not/ kept 101 373948 MUKLAN~ MICHELLE 7906D CMUbLA AKE L DALL911 JOHN LUIS 6/20/83 6/22/82 12/27/82 197,70 LVtB CAKE lOl A17071 ~ffij N 8T TX 76201 DENL'ON T% , 76201 UAah1e to locate. V TX 70067 LI8VE6111£CRF.FK RANDY 70067 No response to 001160101 ff"t /82 60.DO 20t 421209 L 1 V10 1W8N L18 q E UU55 yy a 703 190081 SI iN04 ~ KOAK 034 IStCr%Ei. 76201 ABNb"'&K 034 B¢TXAMI76201 No response to Collection efforts. S04 24 101 231068 NM7APpHpV i 111LDRE> N3UgRRPH). UNIV5RBtTV DAVID 0/S1/B2 0117/82 12/17/OP 763.08 l D ktONLL AY9NU9 T% 76201 DgN;01 TX' 76201 ArrangeWts not kept. „ `I T 3a t sJ12/82 12/27/82. 63.50 201 404934 Oi02NB21TELLA APT 212CINT% 76201BNTONTELLA 0712 C1TXY 76201 NO response to to110ctton efforts, L 4 101 420129 NAY~141 PHILIP N~VM1K ~ PHILIP 6/24!82 7/02/82 12/27/82 209.60 ryT } BOX SIC % OfC TX 76201 kefus0d to pay. ~y t03 306406 V i18NCGN JESSIE 76201 9px NCOn2 ANTkt6 76247 No 4/20/82. to c 23/9lon 121027/ 82 276. 36 ~ g Bpg J~ T2IN2' TX 76247 JUBTN JIMMIE 9/08/82 f2/^.7/82 15,00 207 403729 NIA 8OX 419C JIMM13 ApN7£7ALt{ BOX 419 C B N EB Tx 76266 BANOPN Tx 76966 No response to Eollecttoe efforts, i I i ' s. DATE 12/28/82 l0 01 r F L O W M E M O R I A L H 0 8 P I T A L PAOE l5 BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 V PATIENT 141JMUEN PATIENT NAME 494♦ 44w4r GUARANTOR NAME M4r♦ DATE DATE DATE OF BALANCE PFX NUMBER ADDR, CITY, ST, ZIP AbDR, C1TV,ST, ZIP AD14ITTED DISCHARGED WRItEOFF OF, ACCOUNT V ------------Etl 1 01 40917) D~PIT~Nf~ VALLEY DRIV6ARTX 76201 DE7766Nt2NN VALLEY ETTXLEN 76201 No 5/26/2 DPI ! response to ~osletson efforts. 21.50 201 401661 6a 0C MMICKINNEY ' NILLIAM M WCOMMCHINNHY WILLIAM 0/02/82 12/27/82 35,00 ` tlENT N TX 76201 DENNTON TX 76201 No response to collection efforts. lot 394721 gjCpOX CIRCLE ' ARLIE NI C[CLG ARLIE 4/11/82 4/17/02 12/27/82 90,35 DgNN,TUN8AWYSR TX 76201 DO0EIgN.TON TX ' 76201 No response to collection efforts, 1 201 409706 DENTON IIARX7 62013 DSNTOONWYSR GEORGE ~ 76201 No /response to collection efforts 82 99.35 2 y~ g l01 406052 Stl 9UC0p% ST M201 /'MOS tNtW SUCCOfgf ST N201 ' AMOS 0 0/17/8x a/1S/02 12/27/02 25.04 4 CA OLLTON TX 70006 CA AOLLTON TX 75006 No response to collection efforts, 209 135360 ?BELLLPECAN , JAMES R ~tpECAN JAMES 5/07/82 12/27/82 348.50 V SANg08R TX 76266 NGFN TX 76266 No response to collectlon efforts, 101 430967 3ffl31O9g , AHAMEFULE 0 8g0g RUDDEt.LNl05 SAMUEL 7/30/02 8/04/02 12/27/82 532,10 4 DQNTONRUDDELLNl05 TX 76201 OD NTON TX 76201 No response to collection efforts. gg U2Og 52gQ tt pp 102 159061 Ply(7~ NENT ;ONQOCHAVEN OL87x J76201 D~MTOl~ObUHAVCN OLTXN'76201 No response to2 o111eotion eff2rts02 918.59 101 366120 tPOp O 66 , CLINT cW1 f, /6 1 lOWADARK TX 76367 I WAOPARK - - CLINT X76201 NO/rrO ponso tolcol11ecct210n efforts 82 95.00 Nr6 TX 76201 101 359570 jg5NrOGLE TER 6[{NTbNQVGLAND JAME13 01 No /28/8 nse to collection on 1/97/92 91100 201 405480 PAJTAOUDDRLL AOPT 6s°UE~XlN 76201 DENTON DELL APT 85CH~XYL 76201 No 5/14/82 response to collection effOrtsf2 00.00 101 390602 q N9fiLDOX 330 , OECROANNN PANNEit. GEOROANN 4/93/92 4/23/82 19/27/92 10.50 i)6NTON AAttttT~1X 76201 p$~~TONCARROLL:N294 1pp TX 769D1' NO response t0 collection efforts. V 205 54429 DENTaOX 206 TWIN LAHEBxiir8iy6201 ~gN p 6 206 TWIN LASS6BxMH~6Q01 No response to collection efforts~2 74. 75 . KO X TT - ' 4, DATE 12/PB/02 10,02 F L O W M E M 0 n 1 A L H 0 8 P I T A L PAGE 16 A DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 1 1 ' y 1 PATIENT NUMDEN aMasa PATIENT NAME aaaa 22222 OUARAR NAME aa►a DATE DATE DATE OF BALANCE PFX NUMBER ADDR, CITY. ST, ZIP ADDR, Cl I Y,ST, ZIP ADMITTED DISCHAROED WRITEOPF OF ACCOUNT ~r , 101 380212 7P7,,ARR6HA&ryry& nn TIM PPAARHAMgw p , TIM 5/18/82 5/19/82 12/27/82 708.00 4.0 P&ARD9ONRY TX 79080 PC6HARD80NRY DR TX 78080 No response to collection efforts. 0/2 102 197822 HPARK BNTDNOP 288 MH-10 11YUT% 9Dr6201 DENTOOOP 200 M-10 YOTX DO76201 10/respahse to cOlOleation effor s82 379.70 4 DAARRtlN o 1 387761 DONTU~f WORTH LIB pFP12/27/ TX 76201 DHNTONT WORTH DR 052417% 76201 0/response to collection efforts02 61. 00 3/1 160 SOl 381889 fRRLt~ NY INN AM 1,217JAMT% 76201 R Lj INN #217 8YT%IA 76201 No response to collection effort582 715.44 103. 00 TX 76701 No 0/20/82 12/27/82 202 370972 D N1T'ONRRADS AW CALTX11 76201 U~ Y& RADSHAW JOHN response to collection efforts. V DppTT pp pp gn 204 43950 Poll'RRAUBHAW , SAM9UL P3AtTINRADBHAW OARY 9/30/82 12/27/82 40.90 DENTON TX 76201 D NT N TX 76201 No response to collection efforts. ' DONALD 5/02/82 12/27/82 38.00 202 269928 P8166B8WTI8AK APT 201 L JOHNSON 0L IgSNTQN ^ rX 76201 0 NTTON TX 76201 No response to collection efforts. 201 4,30264 PENA , 11011MA PE NA , THOMAS 7/20/82 12/27/8? 259.60 R10 HNfTIE 319 PETTIS ` ENTO TX 76901 D NTON TX 76ROI No response to collection efforts. 203 362657 PPqEE`EN NUDDELL ' ENRIOUETA 4E1DEN RUDDELL ' SMRIOUSTA 3/22/42 12/27/82 48,35 - 1 E DtiNTOk T% 76201 WWN TX 76201 No response to collection efforts. 202 374999 REZggOX 50 ROYAL ORR$ECMHA 1P08RbEgt2 RYLIE RD LOTi3ISAAC 6/27/82 12/27/82 622.15 16, SJON TX 76201 DALLAS TX' 75217 No response to collection efforts, 101 399691 PI`fER5ZppUNCAN SYLVIA yERFDUNCAN EMILLO 4/26/82 4/28/82 12/27/02 440.00 ` WTON TX 76201 DHNTON TX 76201 Arrangements not kept, 101 235648 9Xn U{58312 MARSHAtLWATX 76266 D&NO jD8312 MARSHALL MURRAY 76266 5No response 111182 to collection 18.00 efforts, 201 422485 Jg~ , 12/27/92 86.50 DNTDNODLAND TAM TX 762tl1 OENT QNRDLAND TAMMY " 76201 7Moved; /06/8 ` DS oft no address, d , w f I ~ .~s ~ a r{ DATE 12/29M2' tot 02: F L O W It E M 0 R I A L H 0 9 P 1 T A L PACE 17 # DAD DEBT TRANSFER REPORT FDA PERIOD 12/01/82 THRV $2/31/82 II PATIENT NUMB H #**A* PATIENT ItAHE *+►w «ak*K GUARANTOR NAME DATE DATE DATE OF BALANCE ~ PFX NUMSE ADDR, CITY. ST. ZIP ADDA, CITYr9T, ZIP_rr__r ADMITTED DISCHARGED WRITEOPF OF ACCOUNT f 201 404376 PiOLLOCk DAN P16.LOCK DAN 0!10/88 18/87/92 35.00 pONTON MULBERRY 0A rx 76201 DQ~QENTON MULDERAY MA TX 76201 No response to collection efforts, Iv E 202 379990 POPE JEFF UPUOPE JEFF 7/24/82 12/27/99 92,75 DHNTONITY APT 0230 T% 76201 OHkTONI7Y APT M230 TX 76201 ' Hovad; left no address, V Lot 392407 P21QWCRyA>C ' CONNII: PO ON 494 CHARLES 4/09/82 4111/82 12/27/92 62q.79 I N180N ~ 4 KE DALLAS TX 75060 LAKE DALLAS 7X 76063 '!o response to coll9Ctlon affDrtS• ~ 207 373886 P~Wlrs JIMMY P WENS . JIMMY 8118162 12/27/82 129,65 IA L LOCUST 050 1i 1o LOCUST 050 Moved; left no address. y DEN ON TX 76201 [n1WWTON J1MMTX 76701 l01 400799 1 0 ~N 4/99/92 1 66 76266 No response toeo7D8aon efforts. 1417,25 OUTH FIFTH h43TP X AN' 76Qbb SAN R MAJOUTH FIFTH STRBB,TIXY pp~ tt P tT ; 76258 Unable ltolocate• 12/27/92 47.50 TX 76258 ENTICE RICK 20l 443077 P LOTI POINY RICK ~ FI T6 3 ~ no address. 1'2/27/92 39.00 201 427329 D'j'3%OMAS 047 BYRO 6g X 76Q01 DeNTONOMAS 027 BYRON 76QOt H 7/20/09 L+ p , 201 429940 LBW[8V102WAN LOT 61111CTxEi 76067 LB4 S COOBAN LOT 61 µITX '76067 ilved5i/lefl nD address, l2/27J92 30.00 J V ' B t 1p. g ILL 201 409029 ~IQTOUGDSLL APT 44 VICTOR 76401 O~QtF 5/26/92 14 . ELL 044, ' JU7XIYA7640t No response to collection efforts, 79.45 V BBBBN qN ttNN aa pguupxx qq cc 209 194407 LAHEfOALLAgOBWO0D E8TAB 75066AIiBIDAL6~µ;t Mf~ SCSWOOD kBTA x R6 75065 3/19/92 !2!27/94 52,OU , 1( No ra9pogse to collection efforts. Iv 120 p 202 420976 A 3NGVl~I Iqp B NORTH' ROS16 1 I"illt LA E NORTH ' RUTH 7/30/82 12/Q7/e2 . OU L W1S8V[LL9 TX 75065 L W1 V LLB TX ' 76065 " Movad; left no address,, J gg 9/n3/92 5/06/02 12/27/82 69.68 IOl 401943 RAQOR OB 0 LINK ' SHIRLEY 76201 gg NHMF~76QOL -'Arrangements not key:, '18,100X ~r 27 CAPRICOR T ggqgpyy 0 H DBkT TX 1LO~CC u1p10C 76208 No response to toll cot on effo ts, 251.74 J 103 72363 ILOTI9XV t11NYXH A 76206 01LO IPOyNTH BRADLEY P T 0 p J1,1; 5 S: ` DATE 12/78/02 10:02• FL 0W MEMO R I AL H 0 0 P I'IAL PAOE 18 BAD DEBT TRANSFER REPORT FOR PERIOD 152/01/82 THRV 12/31/82 PATIENT NUMBER *4*** PATIENT NAHB 4*** GUARANTOR N N1 MM4♦ DATE DATE DATTE OF BALANCE PFX NUMBER ADDR, CI TT Y, ST, 21P ADDAR, CITY, BT Ip ADMITTED DISCHAROED WA TEOFF OF ACCOUNT . . . 101 328914 gR8A03NOOX 333A IIADELY14 REA03NgtlX 333A JACK H 4/30/82 5/03/82 12/27/82 1371.35 COfIINTH TX 77777 NCORINTH TX 77777 Moved; left no address, 201 463174 REED THOMAS REED THOMMAS, 11/06/82 12/27/82 38,00 919 SCOTT 5l SCOTT DENTON TX 76201 DENTON TX 76201 Unable t0 locate, 20: 463174 5~9DOCOTT THOMAS REED BCtlTT THOMMAS 11/13/02 12/2'//8r 78.00 n NT N TX 76201 BEN TON TX 76205 Unable to locate, 12/ l.. 303313 0[NJONTLLA9 , t1ARTXt1 76201 pDj8YN N CRODOME MHP ND" BETX1 76201 No4reSpOBse t0 collection efforts/B3 13.90 L J 201 404079 14~oNUX 371 RIT T% 76301 D8NT08OX 371 RICK T% 76201 V09/2 respoase to collection efforts, 60.25 203 281709 41 0 PRAIR1fi STEVE 4j00J PRAIRIE , STEVE 9/13/02 12/27/82 44. 2G RI NS DD 4 D666888NTON TX 76201 DL~ppNTON T% 76251 No response•to collection efforts, ✓ 201 401174 tlN~gnLOUISE 514 ' DACTXRI76201 DEN40VUISR 014 DA7%pt 76301 Nogresponse to Celloctlon,efforts/02 40.70 1r NI Ch pp pp l01 373720 ROD O%8a6596 7WV LESLIE POBYRAT98S94/. TWU ' LESLIE 2/03/82 2/00/83 1:2/27/82 45, 10 ~ ` UNION TX 76201 Dtl7EN agITO g9N TX 76201 No response to collection efforts. 1 408$60 AR 3gttOYLEE 69 CECIL RRR TX 76326 AROYLPSV 99 DALE respose to collection effor2tsie3 33,00 TX 76226 NoS n V 103 197097 B L O% 85 LAVTX~'A76221, AAOYLFO% 89 HBTXET76226 No response to olaectlon of orts, /92 904,90 V 201 416537 Pp SDI ON 322 BROOKS 6/18/62 12/27/82 30.00 GIVNNEWOOD OK 73090 Moved; left no address, 201 416503 ROBg140O , 11ARLA1~lIr ROB108p02Ng , HARLAND b/18/B2 12/27/62 95.00 WYNN WOOD OK 73096 WYNN6WDOD OK 73098 Moved; loft no address, p p .J t01 393035 RaigpsaOOW3NNgg INP MAI,E A201-91g10 6E NOE 4/09/6,2 4/09/82 12/27/0.^. 629.10 GAN88VIL4fi TX 76240 WONEBVILI~6 TX 76240 No respons4 to collection efforts, ? ;;fit I 1 kt~i DATE 12/28/82 10,03: F L O W 11 E M 0 R I A L H 0 8 P I T A L PACE 19 _ BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 V M PATIENT NUMBER A11A*# PATIENT NAME AZIP -_^_ANMAA GUARANTOR NAME AUAA DATE DATE DATE OF BALANCE PFX NUMBER ADD-, CITY- 8T, ZIP ADDR, CITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOUNT J 201 393678 g000ER8 NINA RODOEIIS SAMMIE 4/08/82 18.00, a12 N. RUUOELL 218 N. RUDDELi 12/27/82 . DENTON T% 76201 DENTON TX 76201 No response to Collection efforts, 202 425938 pRIODRIGUUEZ ChRLOR RODRIOUOEEZ 20 CARLOS 8/07/82 12/27/82 119. as PTLOTBP0INT0 TX 76258 PT RRILOTODPtlI T TX 76258 Unable to locate. 202 282541 7RDRIOpIETWDOD ROBERT R7RRRORL51TWOOD ROBERT 5/22/82 12/27/82 20,00 J DENTON TX 76201 bENTON TX 76201 NO response to collection efforts, 101 49363 pppypU~pJYLF CHRIBTOPHS' RUYLE ARVIN 8/02/81 8/03/81 12127!82 121.88 DETONODFORD 509 WOODFORD ` TX 76201 DENTON TX 76201 No response to Collection efforts, 101 433342 SALAS , CRYSTAL 8ALA8 1914 CARROLL O£1g14q CARROLL LOUIBE 8!09/82 8/07/82 12/27/Z~2 235.615 kw DENTON TX 76201 NiON TX '76201 Moved; left no address. l 202 279489 EALAS GILBERT ALAS CHOCTAW , GILBERT 5/22/82 12/27/82 92.00 151? CHOCTAW po ♦A„ DENtlN TX 76201 DUN 14 tX 76201 No response to 0011OCtion efforts, lot 398115 SAiA28RO RAFAEL SALAZAR , RAFAEL 4/21/02 5/02/82 12/272 90,00 J 1 709 JUNG D NTRN " TX 76201 DENTOW TX 762011 00 response to Collection efforts. 102 234815 gAN M1puEL MARIA SAN MI?UEL FRANCISCO 4/10/82 4/19/82 12127/82 180.00 J 4p9 SMITH 4pB SM Tk DRUN T% 76201 0£NTON TX 76201 No response to collection efforts, 101 389304 4NCHEZ , DOMINGO SA NCI15Z DOMINGO 3/24/92 3/26/02 12/27/82 119,05 I 60 4 N TON RAN SWNTRIM /&2 12/2 HAO ~W 34TH TX 78237 B11 1EAIFRA[tNitLIN T% 78237 No response to coliection efforts, ~ 201 398891 JAN p VNN'NAINKOLIN TERTX/ 7b090 ORAPSViNp DA 4/24 7% 76090 No response to collection eft27/82 129.60 Vr E pp TT p 1 401059 ICR0IPEMBERTON N1lgT8gRI 5gCR81PE EATON tl74~O5AYMOND 4/30/82 12127/&2 68.00 J l Mg V OLLp014Y TX 75056 THE COLONY TX 73096 No response to Collection efforts, 101 399410 S 52 aIBRNAWES DR DRVCILLA SIT RAYMOND 4/26/82 9/03/92 12/27/82 189.00 V COLON Y TX 79067 THE82AMU OR. YX " 79056 00 rOSPOhse to collection efforts. J 1 304493 SHARP WW PATRICIA BHBgARpGpg L1, PATRICIA 5/07/02 12/27/02 20,50 1 LRWIBVSLLEERS TX 75067 LE4lIBVILLgTER TX 75067 No response to collection efforts, J I i 1 i t DATE I2/29/82 l0: 03: F Low t1EJM0R I AL H 08P I T A L f PAGE 2b Ir DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/92 THRU 12/31/92 PATIENT NUMDER ■411e11 PATIENT NAME 4wkr PFX HUMDER ADDR, CITY, 8T, ZIP ~4#rw GUARANTOR NNAME ►M4r ADDR, CITY,ST, ZIP DATE DATE DATE OF " 'ADMITTED DISCHARGED WRITEOFF BALANCE OF ACCOUNT 102 22707 19~IIEPARD EVERETI - Dt;N TO BOX 636 RTEgA00X 696 DUANE 5/18/92 9/20/02 12/27/02 201 204299 p11g7RH£q TX 76801 DE7pNTHHON TX 76201 No 1-0400se to collection efforts, 170 42 OAIIJE6bILLE Atl6rXAND76240 OANEB~ILLE Rtl91LAND 5/02/92 12/27/92 202 130515 RS7[L2VA g U 74. I0 U¢NTODO% N 37 LAf;f d.lKAR ~ENS RTL7ABOX 37 LAME SNOJkAN 76240 No 9/1b/SZ response to collection efforts, R AN T 76201 DENTON TX 76201 NO response to COllectfon efforts, 38.00 I. 101 402016 RRSIZE BOX 114 ' DES g 16 ' UHNTON 7% 76401 EIze N DjiN2 BOX 1140 DE£ 5103/82 9/09/82 12/27/82 201 ' 416198 SKIpgWpORT T014 TX 76201 No response to collection efforts, 01.10 V 1E07148DRO LWOOD CINDY 8pK 4WggppqpTH RAY 1 V T% 79067 LEW[SVILLEWDOD 6/17/82 . 12/27/92 201 414466 8LAUU0►tTER JERINE TX 75067 No response to collection efforts, 54.90 OT SLAY OUTER 20T SHTER DILL OANOKE BOX 20T 201 6/12/92 12/27/92 46.00 401760 SMITH BEN TX 76262 RIM MHK TX 76262 NO response to collection efforts. ~r tlE0 UDD1ELL APT 139 SSyOI THpUDD6LL Ap , DEN 5/02/82 TX 76201 DENTGN 7 139 TX 76201 MoVedf left no address, 12/27/02 78.50 v 1 400127 SM THgg pp MM BRANDY qqi ppqq V t~AMREBVtLL6ETT TX 76240 QAINe'BVSLLEETI AURELtAN 0/14182 12/27/82 TX 76240 80 response to Collection efforts. 321.90 20t 41f63Y BM~~/aT,HNAYNE ' JOEL S N bbikyy~~ V 11INPtlN TX 76201 DEN70MAYN6 JOEL 6/03/82 12/27/02 38.00 101 216964 pgg ITH SHEILA yy T TX " 76201 No response to Collection efforts, " V AUDRIsYtlX $R RT1tHBOX en DANIEL L 2122192 2123/82 12127/92 342,91 J lot 383703 MITHgR8 TX 76227 AUBRRpY TX 76227 No response to ColleCtlon efforts. Ny WAYNE ALISON TX 76201 9 1 SHERS KIRK JOEL 4/80/82 4/23/82 12/27/92 V ~ETO~J 7k D~N70NAYNE 9T 983.85 ~ , `11 201 392001 99NID£ , RANDY g TX 76201. No responso to collection efforts, V AT 2" OX 227 O~t2DEBgtlX 229 12/27/82 L02 136374 SONS RANDY 4/02/02 J TX 76262 A OYLP TX " 76262 No response to collection efforts. 102'90 , REGINA V IAS 8 10TH S7 `S`ON14 1OTH BT ' MARK E 4/20/82 4/23/82 12/27/82 J TX 76266 BANOgk TX" 76266 NO response to collection nfforts, 669.97 V J: J 1 DATE 12/28/87 10:04: F L O W M E M 0 R 1 A L H 0 8 P 1 T A L PAGE 21 DAD DEPT TRANSFER REPORT FOR PERIOD 12/01/82 THRV 12131/82 PATIENT 14VMUEH ■41*0r PATIENT NAME aeMr +Ar*♦ OUARANtOR NAME reM• DATE DATE DATE ppF BALANCE PFX NUMBER ADDR, CITY, 8T, ZIP ADDR, CITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 101 374744 pBpOARILLCpOTT , I1ARY 81y0ROaElI,INDSAY ' ALLEN 4/20/82 5/03/82 12/27/87 565.30 9A [N SVfLLE TX 76240 liA1NFDVILLE TX 76240 No response to collection efforts. 102 7277/ NOV 14ERLAND , OLENDA SOUTHER ANp JOHN H 9/26/82 3/28/02 12/27/82 858. 4G T BOY 194D AT 1 BOLX 194D WH1 E68f)RO TX 76273 WHITLSBORO TX 76273 No response to collection offorts, r-~ 201 401141 8014ARD , MASON 90WARD 11ARYA 4/30/82 12/27/98 40, 70 412 HETf1E 412 HETTIE NTON TX 76201 DENTON TX 76201 No response to Collection efforts. 201 421602 SPERRY LESTER WESTFALL , GLEN 7/08/62 PILOOTBPT 88 TX 7625a PILTSPT 8 12/27182 36,00 1. O Movedi left no address. . TX 76298 201 413021 8g9yPRADARY JASON SPRADARY DOROTHY 6/07/82 12/27/02 83.50 V DENTONMg TX 76201 DENTONME TX 76205 No response to collection efforts. 102 274232 g`PRADARY NATHAN SPRABARY EVELYN 8/24/82 9/26/82 12/27/82 22.00 V DENTONENA TX 76201 1) T0NEyNA TX 76201 NO response to Collection efforts. 102 153031 11SPRADA 704 PADOW OAKS OR9HERRY R?R2Agg 39 ROWE JOHNNY 12/24/01 1/10/82 12/27/82 71.66 DNTO TX 76201 DENTON TX 76201 No response to collection efforts. 201 406098 SPRADERRY RICKY SPRABERRY RICKY 5/17/82 2/27/62 38.00 215 4qTTH STREET 1 216 47H BTREEI it, SAf10ER TX 76266 OANGEH TX 76266 No response to collection efforts. 101 369904 SPRAY#C;Ryy HAURENA SPRAYBERRY MgURENA 1/28182 2102/82 !2/27/82 85.00 AT 2 BO 17 RO1'A1 OAKS R7 2 BOX 17 ROYAL OAK b DENTON TX 76203 NTON TX 76201 No response to collection efforts. 103 376947 SOUIRBOX 846 HAROLD 80V8gIRBN1 846 HAROLD 3/04/82 3/08/02 12/27/62 37$,00 V ARTTUD EY TX 76227 RAUBREY TX 76227 NO response to collection efforts. 101 343409 RU~P1DKF2T3 MCCART$BTaRYX 76244 KNUMOffP27 3 DORIS TX76049 4/15/DP. 4/16/82 12/27/92 a to collection effort, , 307.78 { 201 403436 2169LFLAT BHOALEB RSHAROM Prg9NLPLAT BHOAlE6 ~pWILLIAM 5/07182 12/27/02 84.60 V A77LAANTA OA 30316 AfLANI'AA HH QA 30316 NO response to Collection efforts, 202 386326 pp3RCKCEUUY TAT RD OLGA ARKFY TATFALL OLGA A76301 No s/6/8se t0 Collection efforts/02 18.00 Iiw 8URK9UA~ET TX 76354 1CHI V h r I A ,I ~..wr+-~---. - - - - - - - ' PAGE 22 DATE 12/20/82 10:04: FLOW 11EM0R I AL H 0 a P I T AL A BAD DEFT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/37T1/67 PATIENT NUMBER •#M## PATIENT ,ST #ZIP *~+#ADDR ACITYRBT. Z IPM**- - AbMi1TED DISCHAROED WRITEOFF OFBAACCOUNT pFX NUMBER ADD-- CITY BT,---P T__.,..----„_- r NNIE 2 p316 WINNIE 12/30/81 12/27!82 139.20 2 166619 231 PICADILLY WIN PICADILLY T% 76801 No response to collection efforts. 6 DB EN ON TX 76701 DDpEEr NTTON !01 391730 PN10NINSKLE RODTi~T 76201 DENTONINKLE RtlTXHY 76201 No4response t0 toiled ion of or25J82 355.35 ~ E UNDER a0. 7S 201 410092 3 ADa9TAEET l2ILiXRT 76266 nSNTREET WITXUAT 76266 No response to collection ¢for25/62 EEI2 7777I1 HH~gp efforts, 2 46.00 203 309068 gAN7,0V TIE CINDY 76201 b2 Ttlf~TTIE DATXD 76201 ti Sre response 1fonse to collection efforts. 4 771 INOEEN 204 82119 IN3gafltlpX 63 L:iARLYNI& 7 i9COW% S3 WATXE 75034 5/24/92 posse to collection ofortsJSx 191.36 R18C TX 5034 FR q0qq 02 265, 40 101 395954 RiO~EBOX 483 JOHT% 76201 RENTtlflOX 483 METXSN 76201 No respons2e t0 colect On efforts, OEN OB 201 409607 RTUOfl1WINELAKES MP J0906 76201 RENTOTWINELAKE9.11206JATxT 76201 NoSr¢ poBSe to collection efforts182 60.00 SURPV 4!07/62 12/27!82 19.00 1 393272 6117FP1110 AMANDA 611s7 ppI AMANDA AUSTIN TX 76744 AUt1NIND TX 78744 No response to Collection efforts. V W3 aa ggqW3E3Ap po ROBERT 9/30/82 12/27!82 38.00 20 380774 M6 EAT £BOtlf lJ9 PARK ROBERT 76149 tlE80Uf 11 PARK tX ' 75149 ' No response to collection efforts, 4 M BO r7 pp TAYLOR 201 436295 R~~~OROX Al , JENT%FEA76201 OHNTONOX Al ' JENNIFER 9/14/62 L2/27l62 73.50 ~y 0 )loved 1,1oft no address, it R D BOX 165 KELLY ANN 4!26/82 4!99/82 12/27/82 681,10 102 282035 A42YO LEX 165 WANN TX EttE 76006 A O C No response to collection efforts, 4AYLOR 102 378984 YYLF LOR TX BAMMY ' 76006 D 3/30/92 4/16/82 12/27!82 659 00 5152 N B DOE TAYLOR ppX 1731 SAMMY TA qt ENTON TX 76201 HEENRIETTAMp TX' 76365 No response to collection efforts. TENNVY /13 101 394379 JINN0 WI8V11MLRL 0360411AX7%F 78067 4421SCHAPUAN BY RnTXR 76056 ko5re po8nse to Collett On offo 2/ r2s/82 1145.35. .f I r DATE 17/28/82 10:04: F L O W It E M O R I A L H 0 8 P I T A L PAGE 23 F DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/02 THRU 12/31/02 V 1 PATIENT NUMBEH ****A* PATIENT NAME *MK*• OUARA14TOR NAME DATE DATE DATE OF BALANCE _ PFX 14UMDER DDR, CITY, ST, ZIP ADDR, CITY,ST, ZIP_y_V` ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 202 196990 7110MAS ERNEST LAWHORN , HENRY 6/02/82 12127/82 38.00 3311 E MCKtNNEY 3311 E MCKINNEY unable to locate, DENTON TX 76201 DENTON TX 76201 101 296095 TRAVIS LILLIAN TRAVIS , BOBBY J 9/15/01 9/18/81 12/27/82 230.38 1604 WHITE OAK PO BOX 2798 No response to collection efforts, DENTtlN T% 76201 DENTOH 7X 76801 201 261172 TRIETSCH THEODORE TRIEISCH , THEODORE 5/08/82 12/27/82 18.00 T 1 BOX 767 RT 1 BOX 767 BANDER TX 76266 SANOkR TX 76266 No response to collection efforts. 101 399865 4ROnAUGH KAREN TROBAUGH WILLIAMIII 6121/02 6/93/92 12/27/82 954.55 T 1 BOX 72 RT I. BOX 72 AUBREY TX 76227 AUDREY TX 76227 No response to collection efforts. 201 401836 TURNER SAMUEL pTURNNER PAM 5/03/62 12/27/02 19,00 „ 0.NTONDOX lb TX 76201 0ENqIOIJ%MHP M16 TX 76201 No response to Collection efforts. 4 201 408629 Vy33AN HETER , VAN AN SHERATON VAN 5124/02 12/27/92 38.00 DENTONEkATON PLACE TX 76201 llENT01ERATON PLACE TX 76201 No response to collection efforts, 101 396093 YARNEDORE , 'KAREN VARNEUORE , KAREN 4115/82 4117/82 12/27/02 26.00 !1104 DA99WO0D 1104 BA 81,1000 MANOR No response to collection efforts, LELWIBVIgLLE TX 75057 LEWISVI LP.. TX 75067 P 202 240484 11SLBRMMITHLLOT 09 JESSICA VVbILLAARREALMS JESUS 5/31/82 12/27/(32 118.70 DENTON TX 76201 OENTON TX 76201 No response to collection efforts, y 201 402834 WARE , GLORIA WADE , GLORIA 5/06/82 12/27/82 72.00 SCOTT 925 SCOTT UNION TX 76201 D NTOtJ T% 76201 No response to Collection efforts, ~ D t 275784 WAGUER THOMAS WACNER THOMAS E 5/16/02 12/27/82 731.50 v 701 LONDONDERRY 0126 731 LONDONDERRY #126 NT ON TX 76201 DENT N TX 76201 No response to collection efforts. ` - DD 201 401745 NAL BN , TX ANGELA 76201 D WALDEN ROY 5/02/82 12/27/82 60.00 REN BOX 622A RT BOX 622A ON T% 7620! DENON No response to collection efforts. 101 405084 WALDEN , TAMMY WALDEN JIMMY 5/20/82 5/22/82 12/27/82 923.40 F0 9O% 662 0O BOX 662 ANOK No respna.e to Collection efforts, RROIffE T% 76262 DANO tKE TX 7626^. ALDO 20! 407833 LAItEWDALLABPO B:( ;10IIJTX 750651 AAEWDALLABPO BX 514 1T%y 75065 Una 618 to ,locate, 12/27/92 98.00 V V ps . I a,,. pi E a ~!2j~1v?L~tnb~c I` 1 M .j. - DATE 12128182 10:04: F L 0 W 11 EM0R I AL H 0 a P I T A L PAQE 24 _ i DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/82 ~i AAIT PATIENT HUMDEH wrwrtr PATIENT NAME •rtrtw wwrtwADOR, CITYRBT, ZIPwww ADMITTED DISCHgADEO DOTE OF OFBAACCOUNT PFX NUMOER ADDR CITY. 8T ZIP - - 1r MK pM 201 402011 WALKER AVANELL 8kOLD ORCHARD 41060NELl 6/05/82 12127/82 89.70 70 NppRrrLLLEA No,response to collection efforts. LEWIBVILLLE TX 75067 LEW[ LLE TX 76067 201 347997 WOpALgKqER 30111117E fWOoALKKqFH 0001177E Jf/09181 W27/82 31,05 DENTONREGO TX 76201 DEHIGH GREGG , TX 76201 No response to collection efforts. 1 393771 ARDYLBox 316 JUNTX 76226 AALKIg 316 JUTX 76226 No4ospon e to collection efforts/82 100.80 287. a0 L 9/02 12/7 82 ` R R CCqC WWII TX C 76067 No response to collection efforts / 103 220082 M~f1A8 ItILDE DR ' ROZTXLA 75067 L 4R116VLE.L840E OR JOHN Iw p p N 1. KENNETH 10/29/81 f0/20/111 17/27/82 414. 66 104 179067 pWQLRO 611 KENNETH p0LLq 611 No 4 BLUH TX 76627 WgyBLLUM % TX 7,6697 response to collection efforts. 201 397943 DENTIN BOX 413 JENTXE 76201 MAN Box -413 RO TX 76201 No 4respon a to collection efforts. l8 00 V x /17/02 12/ 20l 406280 RTAPEVtNg42C KEVTX 76050 HAPEVSNa µETXN 76050 NoSresponse to collection efforts/aa 46.66 OR 1 40007/ RD 274 ~ 11AYbELI, ARC ~ LEON 4/27/82 1$/27/62 33.60 IN4SX N TX 76201 OW0~ ON 27q TX 76201 No response to collection efforts. 1- 20t 30221 D7:CJILLPONA DORtlxHY 76201 D~80OMILLPONO ' Do DO TXTHY76201 NO response to collection efforts/82 10 00 - u ITT DepgtNTRpaN 201 404194 ffig `~ELANE DON E T% 75199 SO LANE 7X 7a1D9 No response to collection of orts/6a 38.00 V afia ~gVllt U W~ gg0p 76$73 No 6respo nse to Collection eforts /82 482,75 tOl 4i30b7 7~T6gBORTH DON TX 76073 4a1H 788NOROH tl~1 X DONALD b 1 376087, 1W111 6VILLAGE E 20~ OERI }~TITE bQT 164 JERRY 0 3/20/62 l2rts- /82 47.70 9H ON TX 76201 E6Tp0 T IN ' 47283 No,responso to collection efforts. V t 201 400374 1ENBOV NE HEATIXER 76201 WYONINE TOTXYE 76201 No response to CO1lion offorts/8a t8 00 1 1r D TT / i i DATE 12/29/62 10;05: F L 0 W It E M O R I N L __.H O 8 P i T A L + PAGE 25 V { DAD DE UT TRANSFER REPORT FOR PERIOD 12/01/82 THRU 12/31/62 I PATIENT IJUMhEN Mw*+♦ PATIENT NAME 4nkk nkkkAk 0UARANTOR NAME ♦k«♦ PFX NUMBER ADOR, CITY, 6T, 21P DATE DATE DATE OF BALANCE . DD-, CITY, 8T, 21p ADMITTED DISCHARGED WR--EOFF OF ACCOUNT 201 417121 WHIIE HEIDI WHITE ROBERT 6/20/02 12/27/92 56.00 1003 KINGS MANOR 1003 KINDS MANOR fy LAKE DALLAS TX 75065 LAKE DALLAS TX 75060 No response to collectlon efforts, -~Ih 201 392472 WHl 6FRISCO JUNE pWyplH1TE , DARRELL 4/04/82 12/27/92 b8. 63 RFnTIT8C0 TX 75034 FRtha, TX 75034 NO response to collection efforts, j 1 400377 11106EVINE BY ' TOMMYE , 5/24/82 ' 12/27/62 455.75 DENTON TX 76201 No response to collection efforts. 201 404103 WHIItrfm D THURMAN RRWTHTIITFIELD , THURMAN 9/10/82 12/27/02 47.70 fy RTT1IOOA TX 76211 ~7100A TX 76771 NO response to collection efforts, 201 405431 W ITPORD SARAH WH[ IORx 1155 ELIZABETH 5/14/02 12/27/82 65.00 a 2 SOX 1158 RTT T8 8800 0 NTON TX • 76201 DEN ON TX 76201 No response to collection efforts, 201 401679 RTHTI3JWBOXH362C, LANA WHITWURTH , LANA 5/11/82 12/27/82 46.25 DGNtDN TX 76201 DEN OIJOx 362C q t TX 76201 No response to Collection efforts, 201 390971 3W312E8U1tNCCY NE MO JEREIIY bW1RE0 INCY NE aD ' JEREMY 3/30/S2 12/27/02 92,65 V ALDUOUEROUE NM 07108 V OUEROUE NM 07100 No response to collection efforts, 101 291153 W LDUAN , JOSEPHA ILLODURN JOSEPHA 4/23/82 5/03/02 12/27/82 4 nnttNTON LOCUST APT 1 TX 76201 1) ATONNLOCUBT APT i - TX 76201 No response to collectlon efforts. 746. It IIIS 201 4!0609 DIiNTON LIVAR JASON TX 76201 &MO TUUiVAR BtTXtC 76201 No r5/30/2 esponse to collection efforts./82 45.00 201 407023 fii~LARCII,6gMMgNT8 RHONDA 1iSltLNRCLSMENTB JAMH8 5/20/82 12/77/82 115;00 INESVILLL TX 76240 M* 6pMVggILLE TX 76240 No response t0 Collection efforts, 206 275j3 W14LMMIAA118DX ADA l4'IADDOX ADA 5/18/82 12/27/82 492.00 V UNTUN TX 76201 ffN TX 76201 No response to collection efforts, INE 4 202 300428 I)MMUg CATt%R176201 ~JaII T~ W CAAKER72335 710 response to collection efforts /as 80.00 201 407171 Wt8LL1gNMg OREOORY ILLIA 8 AOAAOVIEIANE WANDA 5/20/82 12/27/82 90,$0 0 'J K 7X 76262 ROANOK 711 TX 76262 NO response t0 r,olleCtion effortS. , DATE l2/28/0a 10:09, F L O W li E M 0 R I A L H 0 8 P IT A L PAGE 26 DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/82 TNRU 12/31/92 PATIENT 14UMORH wwrww PATIENT 14411C 1wUw wwwww GUARANTOR NNAME wltww DATE DATE PATE OF BALANCE PFX NUMB ER ADOR, CITY, 8t, ZIP ADDR, CITY, 87, i1P ADMITTED D18CHAROED WRITEOPF rrF ACCOUNT - 1 402394 VII8L10.1AN'1PRAIAIE 3t303MEL18DA &LI4AlMPRAIRIE N10~ MELISSA 5/03/ti2 12/27/82 75.00 ~N DENBgTON TX 76201 2D[ENNTON TX 76201 No response to Collactlon efforts, ! 214899 DENTONENNt80N DAVE orts./e2 31.00 76201 2EN5~DENNISON tlATk 76201 No response t0 collection eff12/27 201 403444 10n ~pgTONAVE M130SHEATXGR 78006 lCJA LAkOLI.TOHAVE 0130D HtTk 75006 No response to Collection efforts./82 103,79 101 372075 C%AfWJOVLLTXLE LOY TX 79067 L EWt V1LL E8 JA TX $ H 79067 No r1/29/02 esponse to collection efforts. /Sa 51.20 4/1 12 4 101 419969 C A ON DCt~ITA PAROVE 0,2 %RE~'006 CA~RQLLTONA PAROUE~Na3TXAEL7000d No rospos0 to collection effOras /82 422.39 203 410993 UGNTONON s OX 101E HATTXEW 76203 D6NTOBOX 101E TX DONNA 76Q01 No ~esponC to CO}lection efforts. 72.00 V 201 408799 1WIRTZAVE tl HARK 1WEEOtfp HARK 9/29/82 12/27/02 38,00 '1„ tlENTON TX . 76201 WWDENTOIJVE D TX 76201 No response to collection efforts, r 4.0 302 292631 gE7 T12/ 12/ ~NGO%~360N CHETkU 76201 DENONOXK360H A`TXN 176201 No re ponDSe to co110eCt8ion efforts /02 2011,10 201 409037 88VFDRLENE DR NICOLE 43567 WAUFUNRLENE OR NICOLE V V 43967 No response to Collection efforts /02 99,00 l /S2 99,00 202 294200 gHNTONODELL PHCENIXRAPSto 76201 DENTDNODELL PHOENIX( 107%NA„ 76203 No ~ response t0 collection efforts, tOIE TTT qqtTnT] t` ta}Xx TT 101 404673 VI4116 J69R033 JACTk 76273 43H1TE890Rd33 PHTXLt76273 NoDresponse to Collection effor Es /82 64.00 µ fti 201 403196 ~011R409HETRNARD M113 r IIICHAFL ~g1A1 OHEI MICHAEL 9/07/02 12/27/92 15.00 V OENTnN 7k 76201 GgNtpNANARD Nitf TX 76201 No response to Collactlon efforts. 203 20701 AR 'DOE yyt` p8gp A00E 5/21/82 12/27/02 86,29 V EN NOHN00N 0T TX 76201 tlENTOfi0HN80N 8T TX . 76201 No response to Collection efforts, i1w f t r p r 1 "iX , DATE 12/20/82 10:05: F L 0 W f( E M O A I A L H 0 8 P/ T A L PACE 27 f,I BAD DEAr TRANSFER REPORT FOR PERIOD 12/01/82 THAU 12/31182 1 PATIENT NUMBER 04r►♦ PATIENT ' C v NAME _ _ _ DR, C -IITOR -NAME-r♦*♦ DATE DATE DATE OF BALAN E PFX NUMtlfiA AD-- CITY, -T, ZIP ADO-. TY.OT, ZIP ADMITTED DI-Ct{AROED W-tiEOFF OF ACCOUNT YAW 101 432302 EYAW 26rT N1 AT 5 TWIN LRIIEQXYHP76201 OEkTdNBOX let TWIN~LAKE ICKIE 76201 MO ed;3left no add~ess~2 12/27/92 416.30 L IT 201 399717 YERTA , ABBAS YEKTA ABBA9 4/26/82 12127/92 78.15 7.1600 DALLAS DRIVE 1600 DALLAS DRIVE DENTON TX 76201 DENTON TX 76201 No response to Collection efforts, 2D2 230904 Y1O NO JEFFREY YO NO LILLIE 4/l4/92 12/27/62 50100 DENTUUNINWAIOHi TX 76201 DENTONtNAtOHi TX 76201 No response to collection efforts. t 201 426452 1'O 49 , PAUL YOUNG DELLA 7/19/02 12127/e2 40,00 D NYONIOOD TX 76201 DENT014 TX 76201 Moved,, left no address, V %.r TOTAL BAD DEBT WRITE-OFF THIS PERIOD: 106636,42 ~r . .1 r 1 ' vva _ ~4 FLOW MEMORIAL HOSPITAL VA ANCE SHEE'T' ~ DECEMBER 31, 1982 Current Assets: 1982 1981 Current Liabilities: 1982 1981 Cash--Operating $ 25,480 $ 247,410 Current Notes Payable $ 202,090 $ 1250159 Interest & Sinking 170 50,691 Accounts Payable 11022,673 711,740 Reserve Fund 40,329 18,112 Accrued Payroll 265,672 428,171 Repair Fund 20,053 7,246 Payroll Taxes 144,279 57,785 Group Health Insurance (3,225) 41364 Fees Payable 238,056 137,104 Investments/Board Designated 307,683 171,398 Bond Interest Payable Bonds Payable 10,000 65,000 Due Medicare 121,427 193 365 Total Cash & Investments $ 390,490 $ 499,27.1 Total Current Liabilities ~,~9 T,- 32~ .ocoUnts Receivable $3,405,431 $2,567,307 Other Liabilities: Less: Allowance (396,339) 2G5 298 Deferred Income $ 253,098 $ 261,790 Net Patient Receivables M10091092 21302,009 Long Term Notes Payable 364,828 259,028 Other Receivables $ 378,407 $ 376,806 Bonds Payable 420,000 430,000 Inventories. 324,799 264,523 Total Liabilities $3,042,325 $21669,142 Prepaid Expenses 42,246 52,899 Total Current. Assets $4,145,034 $30495,458 Capital: City of Denton $ 393165 $ 393165 County of Denton 1,696,871 1,G96,871 Property, Plant & Equipmentt Endowment Flow Estate 240,461 240,461 $ 37,547 $ 37,547 Fed. Grants, Hill-Burton 10868,910 11868,910 Building & Improvements 41902,159 4,8051386 Federal Grants 256,371 2560371 Furniture & Equipment 21901,753 .~2t.4,.66,1.83 Pledges and Gifts 541,622 375,800 70411459 ,6 Gen, Fund Bal., Beg, of Yr. (2310266) (6860770) AccMulated Depreciation (41312,609) (3+934,157) Current Year (134,575) 56,467 Net Property, Plant & Equip, $3,528,850 $3,374,959 Total Capital $4,6311559 $4,2011275 TOTAL OPERATM3 FUND $7,673,884 $6,870,417 TO'T'AL OPBPAT114G FUND $7,6131884 $6,8'10,417 Current ratio 2.07 SYA,}tY51..'S~YPfFA54N Page 2 F L 0 W M E M O R I A L H O S P I T A L STATISTICAL STATEM 14T DECEMBER 31, 1982 C U R R E N T M 0 N T If Y E A R- T O- D A T E P R I O R Actual Budget Actual Budget Year-to-Date Adult Patient Days 2,646 21945 8,505 8,740 81269 Average Per Day 85.4 95.0 92.4 95.0 89.8 Newborn Patient Days 362 420 1,059 11288 1,183 Average Per Day 11.7 14.0 11.5 14.0 12.9 Gross Patient Revenue/Pt. Day $433.08 $423.32 $413.12 $423.41 $367.83 Total Expense/Patient Day $398.91 $349.07 $367.78 $350.71 $320.07 Month Charity Bad Debt Recovery October $ 51,473 $ 96,053 $ 50636 November 127,181 117,974 4,446 Decpmber 61,228 106,636 60566 663 16, 48 B Revenues 6.88 9.19 .58 lop, Page 3 STATM-M or OPG CATIONS/DFrEM BRS31,I1992 Su lies Direct Operating 8 of Salaries pp E'~~n+aes E, Benefits other - - P f Revenue Revenue ([.~61.. ---r- 4 632 $ 143,787 $ 59,5'78 Psychiatric Hospital tare 18 $ 203,365 S 139r1~~ $ r9II, 37,414 59,230 6 65,644 36x427 22 278 29+847 hi r Care 5 52,125 21,146 1,132 + OF3/Posc Pa Partum 2 190500 19,676 11844 21,520 (2,020) Nurser 2 164 21,083 7,707, ICU y 2 28,865 18,,919398 +1.75 15,573 13,677 Coronary Neonatal Care Nursery unit 4 2 2941,,250 781 15 34,182 11877 36,059 5r722 ' 833 Labor & Delivery Center 3 36,790 2G22,086 531 612',.1426 3203 34,957189 43,,769 Operative) & Recovery 3 38,958 17 851 25,872 43,7'23 (91263) C, sal gency supply Roan 8 3 34t460 89,198 8++270 351986 44,256 44,942 52,437 52,437 72,084 Laboratory/Blood Clank 11 124,521 25 347 42,869 29,614 Radiology/Nuclear Medicine 6 72t48S 55,619 125,466 Pharmacy/IV 1G 181,085 1.2,450 430169 38 301 45,587 Cardiopulmonary 7 83,888 23,183 1501-18 Anesthesia 22,750 4x557 3 31,732 16,506 61244 7 750 Physical Therapy 1 1,105 O855 13,307 2 2 ,G +6 0 , Total 100~~1+ 619 ' $ (73,588} $ (73,588) $ $ $ (139,652) Deductions of Revenue (139,652) 32,738 32,738 (32,738) Charity & [lad Debt 21927 14,342 (33,820) Medical Health Ins. Expense 522 11,415 612 4,348 (21227) Medical Records 1.;97.1 1,53& 27,194 561255 (460570) Gift Ship/Grounds Maintenance 9,605 29,061 64,494 8lt973 ((31,973) Cafeteria 17,474 46,851 (46,851) Plant 38,457 5 694 1.3,844 (13,844) FiLs al fnail Services 8,145 91368 33,582 (33,582) Busine Affairs/' Processing 24,214 7 707) Person Offieoi en. & Collection 21832 4,875 79,76015 ((1615) Administ 6,657 2 934 4,049 (4, Quality Contro 3,115 38,821 (38,775) Quality Control 46 38,821 37 946 946,) General & Administrative 615) Depreciation 37,946 06~ 65 + (309,653) NEI Gain (Loss) From operation 26 919 ) 122 Non-operating Revenue 26 3 r , 919 122 3 ,919 foundation 919- 8 4 _ r_ Total $ 9751929 .w......_.:-~---- i rage 4 P b 0 W MEM0RIA1, If 0SP ITA1, E STA7.EMLTIT OF OPERATIONS/YMR-710-DATE DBCEMBER 31, 1982 B of Salaries Supplies 'Total Direct Operating [revenue Revenue & Benefits & Other. Expenses Profit (Loss) Dally Hospital Care 17 $ 604,580 ?55,542-~ 15,298 $ 440,840 $ 163,740 Psychiatric Care 7 234,974 108,632 4,214 112,846 122,128 013/Post Partum 5 162,560 62,391 31978 66,369 96,191 ICU 2 70,150 60,587 51367 65,954 4,196 Nursery 2 91,275 53,874 15,129 69,003 22,272 Neonatal Nursery 3 105,725 47,726 1,504 49,230 56,495 Coronary Care Unit 3 109,389 96,439 51947 102,386 71003 Labor & Delivery/Birthing Center 3 118,712 80,787 19,274 100,061 18,651 of^3ting & Recovery 4 123,272 66,342 35,912 102,254 21,018 Emergency Room 3 103,701 55,077 77,904 132,981 (29,280) Central Supply 7 255,601 25,444 116,688 1420132 113,469 Laboratory /Blood Park 11 370,711 - 172,800 172,800 1970911 Radiology/Nuclear Medicine 6 211,272 51,271 54,987 106,258 1050014 Phannacy/IV 16 549,225 37,911 127,272 165,163 384,042 Cardiopulmonary 7 262,957 5o,330 16,637 115,268 147,669 Anesthesia 3 1030077 67,736 47,552 66,967 36,110 Physical 'Therapy 1 41 004 23e490 3 347 26,837 14,167 Total 0 $ ,518,185 1, 1 ,5 9 72 ,8 0 ,03 , 89 146 Deductions of Revenue $ (200,736) $ (200,736) Charity & Bad Debt (449,799) (449,799) Employee Health Ins, Expense $ 85,714 $ 850714 (85,114) Medical Records 1,345 $ 36,225 7,737 43,962 (42,617) Gift Shop/Grounds Maintenance 51599 51797 5,821 110618 (60019) Ce' teria 32,284 85,747 80,260 166,007 (133,723) plw,t 51,490 188,304 239,794 (239,794) Environmental Services 112,146 25,873 138,019 (138,019) Fiscal Affairs/Data Proco38ing 24,032 15,054 39,086 (39,066) Business Office/Credit & Collection 72,617 24,765 97,382 (97,382) Personnel 81374 81344 16,718 (16,718) Administration 19,566 60817 26,383 (26,383) Quality Control 70159 21381 9,540 (91540) General & Aftinistrative 288 - 103,290 103,290 (103,002) Depreciation 113,104 113,104 (113 104) rD -4531153 6671464 ~110901617 r Gain (Loss) prom Operation (220 840) Non-Operating Revenue 76,919 76,919 Foundation 9 346 9,346 Total , 9 , 1 , 6,732 1, =1 , 8,006 (134 ,5.5 r f~ v Page 5 F 1,0W M E M 0 R I A L 1108P I T A L SUMY1 RY OF CASH RECIUPTS AND DISBURSEWNTS DECEMBER 31, 1982 Current Month Year-'Po-Date $ 123,297 $ 21175 Beginning Balance Cash Received franc $ 2,787,233 Active Patient Accounts $ 11013,954 565 16,648 Bad Debt Accounts 33,395 cafeteria 10,174 117,283 Appropriations/Donations 381321 163,913_ Other 1 069,015 $ 3 118 472 Total Cash TOTAL CASH AVAILABLE , 19z, 312 Cash Disbursementst Payroll $ 618,316 $ 10521,137 Payroll Taxes 69,489 199,401 Patient Refunds 24,255 951593 47,354 Capital Assets 15,339 62,193 Notes Payable 18,666 Other 422,271 11170,793 1 30 Total Disbursements 1 9 Cash Balance ' 307 683 Cash Investments 307 683 1,659 Total Cash 3 1,659 Gross Patient Revenue $ 11144,403 $ 3,5091054 Less= Allowances (85 415) (251 452) Net Patient Revenue 1,0 , 88 ,25 , 0 Cash Received on Patient Accounts 11013,954 21787,233 Lessi Patient Refunds (2~4 255) (4 3) Net Cash on Patient Accounts 989'69 ' ' 93,5$ 84.2% Cash Received as a 8 of Revenue .t. sf 1^ ..ni n... i:.tie) ,w}'SLY,lY,aU1.F1c;{ybv~k•f-~.k%)2~!i.V.ik'~?dS~... +k+se7~FYt. •kt, s,h : F1n- ~ . ,5 z r.. , . - tf Page 6 P L O W M I? M O R I A L H O S P I T A L AGED ACCCUNTS RECEIVABLE SUMMARY DECEMBER 31, 1982 Primary Payor Current 31-60 GI-90 91-120 121-150 150+ Total 6 of A/i Medicare $ 297,766 $ 74,502 $ 58,663 $ 41 $ 11329 $ 11,953 $ 444,254 14.38 Medicaid 33,524 90,881 6,977 41152 10241 3,422 90119-/ 2.9% Blue Cross 125,661 45,212 15,220 14,492 8 200,593 6.48 r-~ CcMwrcial Ins, 394,360 213t727 85,867 24 0.10 ~ r 15,404 16t995 750,363 29,18 .Jlf-Pay 334,361 249,661 145,208 133,423 109,180 223,087 10194,920 38,48 Balance after Ins, 131546 80 581 59 875 52 336 59 392 48,702 43? 432 13.98 1,218 $ 0 110 228,454 86 55 0 5 00. Y. ):n-House Total A/R 495 296 A/R by 8 42.38 22.68 12.08 7.38 6.08 9.88 Number of Accounts: 7,855 Days of Revenuat Accounts Receivable 81.6 In-House 11,7 VF ti I FLOW MEMORIAL 430 SP I TAL HOME HEALTH Paqe 7 BALANCE SHEET DECEMBER 31, 1982 ASSETS LMBILITIES Cash $ 24,442 Accounts Payable $ '0.. Accounts Receivable 86 143 Payable due Flaw 51040 10,585 3 649 Accrued Payroll r Inventory 1,844 Total Liabilities $ 81694 Total Current Assets $1121429 L(7JIPMENT CAPITAL Furniture $ 11615 Pledge & Gifts $ 0 Less Accumulated Depreciation (1,346) County Hone Health 0 Net Equipment $ 269 Gen. Fund Dal., Beg. of Year 0 Retained Earnings Current Year (921) Total Capital $1040009 TOTAL OPERATING rm $112 698 SAL M RATING MD $112, 698 . , , • ~ r. ,d':~F .t, 1 _ n:,~s~.f.fTr..k3i~,~rY•N~Le~i.~~i'i~AiFuSK.j+{~RFI'.ftgv l I; LOW MEMOR SAID HO S P I T A L It0ME 11 EALTIT Page 8 STA'1'EMLNT OF REV1WrS AND EXPMSES DECDIBER 31, 1982 Month Year-To-bate REVEMES Patient Revenues $ 28,794 $ 99,385 Deductions of Revenue (10,673) (23,487) Net Revenues $ 180121 $ 75,898 MPU48ES Payroll & PICA Expense $ 22,617 $ 63,336 Supplies 3,035 70670 Travel 1,818 41879 Employee Benefits 294 667 Depreciation _ 89 267 Net Revenues $ 27,853 $ 76,816 Excess of Revenues ovor Expenses $ (91732) $ (921) BOARD OF DIRECTORS BUSINESS MINUTES DeVe November 18- 1982 P°9° 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m. on Thursday, November, 18, 1982 with the Vice Chairman, Mrs, Williams, presiding in the { absence of the Chairman. Members present: Members absent: Mr, Ralph Havenhill Mr, Leonard Watson Mr. Dan Trammell Mr, George Hilz Mrs. Mary Williams Mr. A. E. Wyatt Dr. Don Holt DF.C E 0 19&2 Mr. Brad Moore Mrs. Wilma Fritz Dr. Roger Nunn Mrs. Gloria Madewell I the minutes of the previous meeting were read by Mrs. Madewell, and they were approved as presented, Old Business: Personnel Matters--The Administrator was asked to comment on the status of the department rector on probation. He noted that the problem is being resolved, delinquent records are deerdasing, and cash flow is being improved due to the promptness of diagnoses being recorded, Dr_ op-ins--The Administrator commented that follow-up on this topic has been purposely delayed until after the first of the year when the newly elected officials will be in office. He stated that there has been some discussions to locate the maternity clinic at the hospital in the area now utilized by the Personnel Office and to staff the clinic with Certified Nurse Midwives who would also attend dro p-in and health clinic non-complicated deliveries. After further discussions with the OB/GYN Department and Pediatrics Department, a proposal is to be reached which can then be presented to the Commissioner's Court, New Business: Financial Report--Mrs. Fritz reviewed the monthly financial situation of the hospital- an review e the financial reports and charge-off lists. She explained that there had been an operational loss of $590623 for the month--largely due to a decrease in the census from the budegt and the slow approval from Blue Cross for rate increases. Expenses, however, had been closely monitored and were within $3,000 of projection, She noted that cash flow had decreased due to the percentage of cash collected being only 78% of revenues for the month, The Charity Charge-Off list in the amount of $51,473 and the Bad Debt Charge-Off List in the amount of $96,053 were reviewed. Mr. Hilz moved that the Financial Report be approved; this motion was seconded and passed by voice vote. Safety Report--The November 5 minutes were reviewed by Mr. Watson, He commented that a Comm ee had recommended the use of non-flammable holiday decorations and had reviewed the seventy-four incident reports for the month of October. Mr, Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. ut11i A+ien R dAw--The statistics for that comntittee's review of admissions and lengths of stay for governmental and non-governmental admissions were reviewed. Mr. Moore moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. Medical Staff Report--Dr. Nunn reviewed the minutes from the November 15 meeting of the xecu ve omm tee- He explained a new polity which had been adopted to allow M BOARD OF DIRECTORS BUSINESS MINU7I:S o.i. November 18 1982 _ _ P.go 2 certain pediatricians to interpret the electrocardiograms of pediatric and newborn l patients, A Nominating Committee had been appointed to prepare a slate of officers for the medical staff. Applications from Or, Mohammad Kha11c and Or, Thomas Grubb, which had received favorable recommendations from the Credentials Committeo, the Executive Committee, and the department to which they will be assigned, were presented and reviewed by the Board, Mr. Havenhtll moved that the Board accept the Medical Staff Report and appoint Dr. Grubb and Dr. Khalid to the Courtesy Medical Staff with privileges are requested; this motion was seconded and passed by voice vote. _Re~-A ointments--The re-appointment applications were presented and reviewed. A11 applications aWF`d`received favorable recommendations from the Credentials Committee, the Executive Committee, and the clinical department to which the individual is ~ assigned. Idr. Moore moved that the applicants be re-appointed to the Medical Staff, the Dental Staff, and t}~e Allied Health Professional Staff. This motion was seconded and passed by voice vote. (See attached list of applicants,) Adverse Recommendation--The Administrator reported that the appropriate notificati had been sent to ney B. Roth, DPM regarding the adverse .recommendation from the Executive Committee subsequent to the Ad Hoc Committee's adverse recammandatlon, and Dr. Roth had been given the appropriate length of .time to request an appeal of this decision from the Board of Directors, Notification should have been received by November 3 from Dr', Roth; however, no notice was received. Mr. Havenhtll moved that the Board of Directors not grant the requested surgical privileges to Or. Roth; thfs motion was seconded and uhanimously approved, M~oetin~ _Chaange--The Administrator proposed that the date for the December Board meeting be advanced one week to Thursday, Docember lb to avoid meeting two days prior to Christmas. This was approved by the Board members. Publlci.tY--The Administrator apologized for the newspaper article recently sub- mitted~iy Sid Graham which listed the newly elected Board officers incorrectly, He stated that the newspaper had also elected to only publish two of the officers pictures professional Office Buildin --The Administrator reported that he had contacted Mr, Koo rom w e reports at he is still negotiating with a pathologist about a large amount of space for the office building, He asked Mr. Koob to be ready by December 16 with a final decision concerning the building. Anesthesia Cov, erage--The Administrator. stated that ther~3 is still a vacancy in the posit ono D rector of Anesthesia at this hospital, He stated that the Medical- Surgical Clinic has an applicant for the position, as well as another individual who has expressed an interest in the position, He stated that he might need to have a called meeting of the officers of the Board prior to the next meeting so that a decisio can be reached in the matter, There was no further business, and the meeting was adjourned at B;1D p,m, Mary Henderson Williams, Vice Chairman t\ and Acting Secretary gm j' 1 M i i i APPLICATIONS FOR REAPPOINTMENT ACTIVE MEDICAL STAFF COURTESY MEDICAL STAFF--ER PHYSICIAN G. E. Adami, M.D. T. V. Patterson, M.D. E. J. Flynn, M.D. V. R. Alvarez, M.D. T: A. Qureshi, M.D. B. F. Hubert, M.D. J. R. Anderson, M.D. J. M, Rampoidi, M.D. S. T. Johnson, M,O, D.H. Bailey, M.D. E. C. Sacker, M.D. A. J. Lanier, M.D. J. N. Bhatt, M.D. Barry Sanders, M,D, H. J. Roe, M.D. T. 0. Blucker, M.D. W. E. Sanders, M.D. j J. P. Brown,M.D. Betsy Schenck, M.D. DENTAL STAFF ` H. M. Burgess, M.D. A. D. Short, M.D. L. R. Byrd, M.D. J. P. :spencer, M.D. T, T. Angevine, DDS M F. J. Charney, M.D. D. H. Steiner, M.0 W. E. Boynton, DDS W. E. Coleman, M.D. E. L. Taboada, M.D. Hamilton Jones, DDS R. S. Croissant, M.D. E. M. Taylor, M.D. R. D. Kindrick, DDS J. K. Dowling, M.D. A. F. Terry, M.D, J. L. Pavelka, DDS J. W. Dunn, M,D. J. D. Thomas, M.D. C. H. Saunders, DDS J. J. Feldman, M.D. T. J. Thomas, M.D. G. L. Simmons, DDS G, P. Flanagan, D.O. N. M, Vasavada, M.B. F. A. Camp, DDS J. D. Fletcher, M,D. M. W. Via, ALLIED HEALTH PROFESSIONAL STAFF K . L. Ford, M.D. C. H. Wahlert, M.D. K. E. Goldberg, M.D. R. W. Williamson, M.D. D. B. Hagen, M,D, R. T. Wilson, M.D. T. 0. Blackmon, Ph.D. Scott Haggard, M.D. E. F. Wolski, M,D. Rick, Buckelew J. D. Harvey, M.D, K, L. Wright, M.D. H. M. Caplan, DPM G. E. Holladay, M.D. A. E. Wyss, M.D. Judy Cherry, RN D. F. Holt, M.D. R. M. Clark J. A. Horne, M.D. COURTESY MEDICAL STAFF Dan Corpany, PA G. L. Jackson, M.D. Michael Flynn, Ph.D, D, 0. Johnson, M.D, M. A. Armstrong, M.D. Sarah Gates, CORT J. H. Jones, M.D, Bediola Badie, M.D, G, M. Haisten, CORT D. P. Kaga1, M.D. M. M. H. Bakker, M.D. Don Henry, CORT M. Z, Kardum, M,D, T. L, Barth, M.D. Sandy Hilliard C. L. Kinard, M,D, R. B. Boatwright, M.D. Ron Huohes, Ph.D. F. D. Kurrus, M,D. R. J. Boren, M.D. Ray Johnson, Ph.D. J. A. Kendall, M,D, J. A. Conyers, M.D, Marguerite Knight, RN R. J. Lee, M.D. P. J. Dyer, M.D. JoAnne Oliver, MSSW R. M. Lockwood, M.D. A. M. Finlay, M.D. H. T. Perry, Ed.D. S. D. Mantri, M.D, W. V. Harford, M.B, S. B. Roth, OPM C. A. McAdams, M,D, C. H. Henry, M.D. J. A. Salahshour, RN H. L. McBrayer, M.B. S. S. Huang Hsu, M.D. L. J. Schneider, Ph.D. H, M. McClendon, M,D. J. R. Jones, M.D, D. A. Smith, Ph,D. W. M. McCormick, M.D, R. E. Kelly, M.D. George Smith F. T. McGehee, M,D, C. Lertdilok, M,D, Paul Thetford, Ph,D. W. M. Midgett, M.D, T. L. Neel, M.D. Vickie Tischler, LVN J. H. Miller, M,D. N. A. Patel, M.D. Gana Waggoner, LVN W. S. Miller, M.D, L, B, Roberts, M.D, W. W. Wenrich, Ph.D. P, J. Montalbo,.M,D, J. W. Soars, M.D. T. L, Moore, M.D, Albert Thibeaux, M,O, Virginia Moreland, M.D. J. R. Toledo, M,D, R. D, Nunn, M,D, R. M. Tovar, M.D. S. D. Obaldo, MD. J. H. Oliver, M.D. F L O W M E M O R I A L H O S P I T A L BALANCE SHEET NOVEMBER 30, 1982 1982 1981 1982 1981 Current Assets: Current Liabilitiesi Cash--Operating $ 124,785 $ 254,655 Current Notes Payable $ 207,755 $ 131,209 Interest & Sinking 12,754 3,517 Accounts Payable 937,162 604,048 Reserve Fund 39,797 7,988 Accrued Payroll 450,671 426,765 Repair Fund 19,787 6,386 Payroll Taxes 71,819 56,895 Group Health Insurance 41711 11,052 Fees Payable 269,613 139,996 Investments/Board Designated 307,683 231,398 Bond Interest Payable 19,392 14,289 Bonds Payable 10,000 650000- Due Medicare 121,427 193,365 Total Cash & Investments $ 509,517 $ 51.41996 Total Current Liabilities $ 21087,839 $ 1,631,567 Accounts Receivable $ 31505,350 $ 2,569,096 Other Liabilities: Less: Allowances (219 401) (259 805) Deferred Income $ 281,220 $ 290,878 Net Patient Receivables ;285,949 2 J09r2j1 Long Term Notes Payable 379,835 274,180 Bondn Payable 420 000 430 000 Other Receivables $ 3620065 $ 359,886 Total Liabilities 3,1 , 9 , 2 ,625 Inventories 316,745 260,358 Prepaid Expenses 64 367 61r688 Capitalt Total Cut.rent Assets ,538, 3 3t5061219 City of Denton $ 393,165 $ 393,165 County of Denton 1,696,871 1,696,871 ' Property, Plant & Equipment: Endowment Flow Estate 2400461 2410,461 Land $ 37,547 $ 37,547 Fed. Grants, Hill-Burton 10868,910 11868,910 Building & Improvements 4,9021159 41761,30; Federal Grants 256,371 2561371,,_. Furniture & Equipment 221876 680 2 422 181 Pledges and Gifts 541,247 375,80(- 7,816,6 1,921,330 Gen. Fund Bal., Beg, of Yr. (31,266) (6861770) Current Year (54r962) 55,571 Accumulated Depreciation {41275,338) 3 900,245) Net Property, Plant & Equip. $ 3,541,048 $_3,320,785 Total Capital $ 41 910,797 $_9,200,3]9 TOTAL OPERATING FUND $ 8,079,691 $ 61827,004 TOTAL OPERATING FUND $ 8,079,691 $ 6,827,004 Current Ratio 2.17 N I I FLOW MEMORIAL I10SPITAL Page2 STATISTICAL S'I'ATF4MT NOVEMBER 30, 1982 CURRENT MONTH YEAR-T0- DATE PRIOR Actual Bujdc©t Actual Bu_ dget Year-to-Date Adult Patient Days 2803 2..850 5678 5795 5615 Average Per Day 93.4 95.0 93.0 95.0 92.0 Newborn Patient Days 455 404 873 838 792 Average Per Day 15.2 14.0 14.3 14.0 13.0 Gross Patient Revenue/Pt. Day $421.65 $423.62 $417.36 $423.47 $366.96 'total Expense/Patient Day $371.15 $353.99 $365.32 $351.55 $317.36 Month Charity Bad Debt Recovery October $ 51,473 $ 96,053 $ 51636 November 127,181 117 974 4,44 T7; M 214',627 5 10, 09 Revenues 7.68 9.18 .058 ~W I F L 0 W M E M O R I A L H O S P I T A L Page 3 STATEVM OF OPERATIONS/NOWMER 1982 Salaries Supplies Tbtal Direct Operating Revenue Revenue & Boneflta & or pmnses Profit (Loss) Daily Hospital Care 16 $ 193,400 $ 140,429 $ .41211 $ 144,640 $ 48,760 Psychiatric Care 7 82,814 35,653 2,542 38,195 44,619 OB/Post Partum 5 56,020 21,219 11407 22,626 33,394 ICU 2 26,700 20,315 11337 21,652 51048 Nursery 3 31,230 18,074 41726 22,800 81430 Neonatal Nursery 4 46,800 15,738 128 15,866 30,934 Coronary Care Unit 3 40,282 33,997 11894 35,891 41391 Labor & Delivery/Birthing Center 3 39,961 27,223 4,466 31,689 81272 Operating & Recovery 3 41,164 21,575 7,811 29,386 110778 Emergency Room 3 32,308 18,050 25,912 434962 (11,654) Central Supply 7 83,731 81398 47,715 56,113 27,618 Laboratory/Blood Bank 10 114,730 64,798 64,798 49,932 Radiology/Nuclear Medicine 6 66,882 17,183 10,421 27,604 39,278 Pharmacy/IV 16 185,094 11,643 38,529 50,172 134,922 :'ardiopulwnary 8 92,017 22,054 17,025 39,079 52,938 Anesthesia 3 36,781 16,849 41464 21,313 15,468 Physical Therapy 1. 13t278 7 710 1 556 9 266 41012 Total 1008 11183,192 4-36-J-1-60 8,942 67 ,05 508,140 Deductions of Revenue (50,117) (50,117) Charity & Bad Debt (158,263) (158,263) Employee Health Ins. Expense 36,886 36,886 (36,886) Medical Records 495 12,874 2,548 15,422 (14,927) Gift Shop/Grounds Maintenance 21085 21039 11504 3,543 (11488) Cafeteria 11,813 27,968 27,134 55,102 (43,289) Plant 17,189 62,875 80,064 (80,064) IMvironmental Services 36,742 91398 460140 (46,140) Fiscal Affairs/Data Processing 81459 50074 13,533 (13433) Nosiness Office/Credit & Collection 23,873 71894 31,767 (31,767) Personnel 21852 669 31521 (3,521) Administration 61615 21290 81905 (81905) Quality Control 21012 1,179 31191 (31191) General & Administrative (441) - 29,481 290481 (29,922) Depreciation - 37 721 37t721 (37,721) T-Tlfffr-4-28) 140t623 M :95J 365,276 $ 55 1 0 " Gain (Loss) From operation (51,564f Non-Operating Revenue 25,000 25,000 Foundation 31122 3,122 Total $ T6I6;>?8~i 463 5 1 040 328 $ - (23,442) P L O W M E M O R I A L H O S P I T A L Page 4 STATEMENT OF OPERATIONS/YEAR TO DATE NOVEMBER 30, 1982 of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit (Loss) Daily Hospital Care .17 $ 401,215 $ 286,386 $ 10,666 $ 297 052 Psychiatric Care 7 169,330 72,205 3,227 75,432 $ 104,163 OB/Post Partum 5 110,435 41,244 2,847 44 091 930898 ICU , 66,344 NCB 2 50,650 40,911 3,523 44,434 6t216 3 62,410 340955 12,965 47,920 Neonatal Nursery 3 76,475 32,328 11329 33x657 190990 818 Coronary Care Unit 3 67,607 62,257 4,071 66,328 41 2 79 Labor & Delivery/Birthing Center 3 81,922 54,256 12,848 67104 Operating & Recovery 3 84,314 44,256 23,809 68 065 14,818 Ewrgency Room 3 69,241 ;,7,226 52,032 890258 16,249 Central Supply 7 166403 (20,017) Laboratory/Blood Bank , 17,173 80,703 97,873; 680527 1 Radiology/Nuclear Medicine 6 138,780 7 33,749 129,639 163 63,388 125,827 Pharmacy/1V 16 368,140 25,461 84,104 75,399 CrSioQui~ nary 8 179,069 44,553 32,434 106,987 258,082 3 711315 33,824 10,393 44217 102,082 Phyy ical Therapy 1 27 697 15,739 2 243 170982 27,128 ~ % 5, 7 0 8 6 9 715 f5li Deductions of Revenue Charity & Bad Debt $ (127,148) $ (120,148) Employee Health Ins. Expense !310,147) (310,147) Medical Records 52,976 52,976 (52,976) Gift Shop/Grounds Maintenance 823 240810 41810 290620 (28,797) Cafeteria 22,599 56,686 ,31208 7,469 (31791) Plant 53,067 109,753 (87,154) Envioronmantal Services 34,016 123,805 157,821 (157,821) Fiscal Affairs/Data processing 730689 17,479 91,168 (91,168) Business Office/Credit & Collection 15,887 9,355 25,242 (25,242) Personnel 48,443 15,397 63,800 (63,800) Administration 51542 31469 91011 (91011) Ad finis Control 12,909 30859 16,768 (16,768) ,Qua l General & Administrative 243 41049 ,467 51491 (51491) Depreciation 644,469 64,469 (64,256) r_Mj 75 157 75 157 75 157 Gain (Loss) From Operation-92)7 42 , 98 7pB, /3 0 Non-Operating Revenue 500000 (111,186) M Foundation 6 224 501000 Total 2,017,502' $ 1,156,770 6g 2 $ 915,_ _ 2,072, 65 5 F'L011 M E M 0 R I AL 1105 P I T A L Page 5 SUMMARY OF CASH RECEIPTS AND DISBURSNOWS NOVEMBER 30, 1982 Current Month Year-Tb-Date Beginning Balance $ 81013 $ 21175 Cash Received from: Active Patient Accounts $ 908,377 $ 1,773,262 r Bad Debt Accounts 41446 10,082 Cafeteria 11,918 23,221 Appropriations/Donations 116,283 7.17,283 Other 48,683 125,593 Total Cash 1'089,707 21049,441 TOTAL CASH AVAILABLE $ 1,097,720 2,051, 6 Cash Disbursements: Payroll $ 465,134 $ 903,021 Payroll Taxes 65,438 129,912 Patient Refunds 91383 21,338 Capital Assets 74,755 82,015 ` Notes Payable 240861 43,527 ;ether 334,868 748,522 Total Disbursements 979 439 1 928 335 crash Balance 97-123 281 123,281 Cash Investments 307,683 307,683 Total Cash 3019 430,964 Gross Patient Revenue $ 11179,930 $ 21364,651 Lass: Allowances 78 574) 166 037) Not Patient Revenue 11101,356 2?198r614 Cash Received on Patient Accounts 908,377 11773,262 Yom Patient Refunds (91383) (21 338) Net Cash on aatient Accounts 898,994 11751, 24 Cash Received as a 8 of Revenue 81.68 79.78 4rrn4-., t y r • •,a „d PLOW MEMORIAL HOSPITAL Page6 AGED ACC'OUNT'S RECEIVAt3I E SUMMARY NOVr=ER 30, 1.982 Primary Payor Current 13-60 61-90 91-120 121-150 150+ 'total % of A R Medicare $ 222,552 $ 225,378 $ 2,291 $ 3,452 $ (976) $ 12,869 $ 465,564 14.8% Medicaid 60,482 19,854 80354 4,141 51063 31261 1.01,155 3.2% Blue Cross 73,583 26,670 24,512 11299 867 - 126,931 4.0% C:omwrcial ins. 490,438 2050184 62,356 25,380 24,784 15,914 824,056 26.18 Self-Pay 370,374 216,877 158,529 132,680 107,413 222,664 11208,537 38.4$ Balance after Ins. 140,759 70,859 95,952 64,496 42,168 624408 426,642 13.58 $ 1,358,188 $ 764,822 $ 301,994 $ 231,448 $ 179,317 $ 317,116 $ 3,152,885 10010% In-~L,u 433,417 'total A/R $_315861302 A/R by 8 43.1% 24,38 9.68 7.3% 5.7$ 10.18 Number of Accountsc 71685 , Days of Revenuei Accounts Receivable 8113 In-House 11.1 Total 92; F s F FLOW MEMORIAL 1105P I T A L HOMY HEALTH Page 7 BALANCE SFM NOVOCER 30, 1982 ASSETS LIABILITIES Cash $ 28,935 Accounts Payable $ -0- Accounts Receivable 101,380 Payable due Flow 8,440 r ~I $ 130,315 Accrued Payroll 10,334 Inventory 1,844 Total Liabilities $ 18,774 Total Current Assets $ 132,159 EQUIPt1 CAPITAL Furniture & Equipmont $ 11615 Pledge & Gifts $ 115 Less Acci..mulated Depreciation (1,256) County Home Health 56,919 Net Equipment $ 359 Gen. Fund Bal., Beg. of Year 47,896 Retained Earnings Current Year 8,814 Total Capital $ 113,744 TOTAL OPERATING FUND $ 132x518 TOTAL OPERATING FM $ 132,51$ I iT w ' FLOW M E M 0 R I AL 1105 P I T A L HOME HEALTIt Page 8 STAMM 0C REVENUES AND EXPENSES NOF*MER 30, 1982 Month Year-To-Date REVENUES Patient Revenues $ 33,119 S 70,591 Deductions of Revenue (6,759) Net Revenues $ 26,360 $ 57,777 EXPENSES Payroll & FICA Expense $ 19,876 $ 40,718 Supplies 21321 4,634 Travel 11459 31461 Employee Benefits 193 372 Depreciation 89 178 Net Revenues $ 23,938 $ 48,963 Excess of Revenues over Expenses $ 2L422 $ 9 8-:4 r ; ~w _DATR 11/30/98 7:31: 9 L 0 W 11EM0R 1 AL H 08 P 1 TAL PADS 1 <l DAD VVUT TRANSFER REPORT FOR PERIOD II/O1/B2 THRU 11/30/82 ` Y PATIENT 14UMDCH «*w»# PATIENT NAME *ON* rra{,r GUARA14TOR NAME DATE DATE DATE OF DALANCcgg PFX ADUR. --TY- BT, ZIP AD DR . CITY.ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACC86NT iwo 201 411979 AD UEL REH1M , ARMED ARMED , SALIVA 6/02/82 31/26!82 58.09 j I~ 30 N DRADLEY 02 308 N BRADLEY N2.. - DENTON MM TX 76801 DENTON TX ' 76201 ",'Unable to locate, 202 411979 02o2NYNL 0 pp ADLE Y N2 ARMED 309EN BRADLEY 02 ' SALIVA 6/18/82 11/26/82 34.00 , OL~NTON YX 76201 DENTON TX 76201 Uoable to locate, 203 438133 FOSTALL HM ALFREOtl AC08TAAq Eg ALFREDO 8/23/82 11/26/92. 38.00 1r LCWOSVILL6 TRAIL TX 75067 LCW16VSLLETRAIL 'TX 79067• Movedi left no address. 202 439133 ACOSTA p ALFREOO ACOSTA ALFREDO 8/27/82 11/26/02 70.60 LCNSVIIL.LE TRAIL TX 79067 LEW16V1LLETRA[t. TX 75067 q MOved; left no address, 2 402792 pApDA9SDOX 149 Tll[IJ`LANNS 1•IH RTA5SpOX 140 TWIN LAWiLLgLIAM 6/01/92 11/26/02 96,00 Tfty DENTON TX 76201 MppHp p8N ON TX 76201 No response to Collection efforts, 21:61 201 411611 IOpAAqOSNN CO AN M97 KIM 640MN CONAN 437 , KIM 6/02/82 11/26/82 3$,00 / t V LGW19VILL TX 75067 LEWISVILLE . rX 75067 No response to collection efforts. .L-1 202 317549 600I41E8T BYCAMCRL` LOUIS ADIW BT SYCAMORE , LOUIS 7/21/82 11/26/02 19,88 V DEEENTOON TX 76201 DENTO TX 76201 NO response to collection efforts, 201 391060 AOUILAR PAULA AAqOUILAR PAULA 9/20/82 11/26/02 80,75 A~NTON HLAND D Tk 76801 ENtOMIOHLAND TX 76201 V No response to Collectlon efforts, 101 390640 gAgOOoULggIAR DELMA " AAgpOpULIAR LOUIS 4/14/82 4/92/82 11/26/82 279,07 fy 1'-- OCNTONCAMORE TX 76201 DENANRUDpE4L N31 TX 76201 NO respow to Collection efforts, fOS 46672 1500A0, ROBE AOUMADU LAWRENCE 4/14/8s~ 4/17/82 11/26/82 900.34 VENTO TX '16201 W1, OAK N96 A6000 yy~~ pAK Ni26 Movedi left no'address I >"M 201^ 369898 0 ' 3/26/02 11/26l02 145.13 PTL KINQkp~1NT JACTX 76208 p1LO8xPTI7•" JACK .76901 58 flo response t 101 390009 A o b NTANVDOELL,,M127 DONNA AKIN gApUDDELL.M127 ARIDIODOLA NO response 2 4/20/ ctl0n 1 forts w I /20/82 11/26/82 804.65 V 1 D NY N TX 76201 NT0N 1X"776201 to Colleetlon efforts 42 201 442669 LISHp NMAPLE BY k24A MOHAMMAD762011LOBRMAPLE.$7..N~4A AL1 9/03102 11/26/02 SS. 50 y, - D 8 p V DENTON TX ._._76201 Unable to locate. .13 , Y t, l •1 r IrF 1 ~ / PON 4 t H•d>>4 P.•T:T. A.L.: _ R L tl W _a...ll.. 8"M- O . PAGE a_. DATE 11/30/82 7; 31: BAD DEBT TRANSFER REPORT FOR PERIOD ll/01/02 THRU 11/30/H2 BALANCE *4**** GUARANTOR NAMC ADMITTED DISCNAROED WnITEOFF or ACCOUNT ADDA. CITY. 87, 21F P n E.:•,pATTSENT NUMBER M"aaADDRT ICSTY~ ~~9T,{r1p ........m--m Pf X NUMBER _ - - - 54, 79 t Fw.~+. , JANICE 12/04/01 12/05/01 11/26/82 SOl 3566h9 ~TyAFgY STREET 0211 JANICE - 43 ALLAPIRE 0T„ MA 02040 No response to collectlon efforts. DENTO TX 76201 ..-NULL 11/26/02 46.00 f_.. ( r 1111.. JEFF 4/15/02 III , JEFF ALLEN 286 E LLEN LIgYD 8 SCRIPTURE T% 76201 hlo response to collectlon efforts. I 701 399798 A K um 7X. 76749 .1jENTtlt1 l7. t0 DAVID 7116/89 11/26/82 MICHELLE ALLEN 201 1425926 pLENMONTGLAIRE 3p o0 M~1ONtCLAIRE TX 76201 No response to Colleedon efforts. YES 0DO TX ...76201;~4 D NTON I1/26/R2 18.00 f^ '4 ALLEN , LINDA 7/12/0a 4 DENT ON 201 424705 ALLEN , TILMAN 425 ppgER ' 4 5 EER T% 76643 HEWiTT TX STEVEN No 8/17/02 response to collection efforts. 20.00 VA r i1Yiw BAKER 11/26/82 91 7X_ 76201 ROVOd; left no addroSS. tlNIORUgOELL X1 16 910 MUDDELL 0116 201 437271 AKOR N AMYT% 76401 jENTO 68.00 T 5,22/02 1t/a6/Ba ' , TERRY 0AAEK JOHNNIE 201 407668 BAKER2 II32 gTX 76267 Unable to 10Cat0, ~ 164.60 I^T2Ul.^. 37362.. LIUELL ..,.:i. ...,T%..,_..76467. L DEL LL 11/26/02 y BARNHILI 1 ENNETH BA~NHALE H VEN8TAT69NNETH 8/07/82 t{t~ 33 Aq L K DA HAVEN ESIATEe TX _::950611:.',LAKELDALLAS. TX... 75065 Unable to locate. Il/26I02 41.00 K DAL A EDDIE tl/21 /B2 , MARY BLAND "I "'t 201 438689 BLAND 1 ?213 [MPORIA 1529 1Mf'OR1A K8.U=1'1111 WICHITA K8 Unable to locate, 8/26/82 523.95 ....,;..:..W1CH1 A Y/10/82 ~i LVIS UAINSEND VICTOR } 201 426619 „^.522SLOV18E 8T '013 f5f^l LOUISE ST R43 TX 76201 Unable to locate,- CG E qN 11/26/02 598.00 „ 201 NTON ROBIN 0/12/82 h OWN ' 435610 ROWt1 ROBIN I7 q 1 b T% _ 75065 Unable to locate. ALL ~ ' JERRY 9/07/82 ~ r X405 443747ARg LIYT% 78065 148 DALLAS. 11/26/82 a0 7S N'4 NOA IUULggINA VIOTA M_..RK76a4b Uoabla to locate , 4 .BUON~gV10TA T% r;7 6Q26: HQYLF 2f. 01 -w , WILLIAM 1/11/82 1/17/02 11/26/84 SANDRA qqBYRD pp EE P 101 366906 BYRD t B F.GII TX; 75418 unable to locate. PO 90j184 64.0 . ::7% "76740, 90NHAM V LLB 9/05/82 11/26/02 ,_._...GA1N8 ROBERT f" ~ p 201 443531 CAIN CtlREENaI IT WORTH DR 04„ CAIN T WOR71i DR N4 76fi0t Unable to tocato. <&.uwii.dr . , 1 i i .1, i DATE 1 1 /30/82 7:31 F L 0 W II E M 0 R I A L H O B P 17 A L DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/82 TMRU.11/30/132 1 BALANCE 414404 PATIENT N/•ME 441410 NwNww ooUARANTON WAM5 04100 MITTS SCAATEy_ nnAtEr of `FACCOUN IENI PAY UMDER MUNRH ADDRr CITY, ST, ZIP ADDRr CI7Y,8T, ZIP' ADMTTED DI8CkAROED 6RITEOFP OF ACCOUNT PFX NFX . , RALPH 7/10/82 11/26/02 82.00 202 406983 CAIN , RALPH CAIN , 301 wwITHERB 04 301 WITHERS k4 7X 76201 Unable to locate. ~n7 b D NTtlN TX 76201 CANTON 89.90 , ROBERT CAIN ROBERT 0/19/82 11/26/82 201 436634 CAIN FpT WORTH DR k•1 2g l2 p7_WOR7H OR k4 DONtlN TX 76201 DENTON 7X 76201. Unable to locate. , lot 393199 PRR13R1B24 OAK HILLDEANA CCA,R1rbRBgq OAK HILL GARRY 4/06/8.2 4/[6/82 11/26/82 2408.60 , 04NTUN TX 76201 UFN?ON TX 76201, No rosponso to collection efforts, V MARY 7/29/S2 11/26/92 70.00 202 330426 SSTFgqIR VIEW LANE RUSREU 'ARTY /5FAIR VIEW LANE TX 761s1 Unabta to lotete: T WORIIi TX 76201 F7 WORTH 11/26/82 38, 00 TAMMY 8/11/02 207 210642 CHANDLER ANGELA CHANOLLJ SI23 qq JOHNSON 1312 F JOHNSON TX 76201 Unable to 10Cate, C ' ANTO TX 76201 ' DEN of N k.0 219 17350 IGGIANN6DLCA TAMMY CHANDLER OAK 209 GARY 7/02/82 11/26/92 52.90 pENTON OAK 209 TX 765201 DENTOt4 7X 76201. Unable to IOCate. 1 iV TER[ COOK TER] M 2/27/82 3/01/82 11/26/02 863.10 101 340208 COOK 2918A AUGUSTA t4 BgLDA AUGUSTA 7% 76201 CANTON TX 76201 Novedl left no address. GNTON 4 JAMES E 2/04/82 2/09/82 1f /26/82 2198, 1 101 399703 CORDIN LOLA CORSIN a SANGER .OBOg 963 PO DUX 963,.... TX 76266 '.Unable to locate, TX 76266 SANGER 101 198491 Cn1A10 BENJAMIN „ C6RAI 13ENJAMIN 1/14/82 1/16/02 11/26/02 1311.2 . 5 DGNTANDERS13N TX 76201 DI14UNDERSON YX' 76201 No response t0 Co11RCOOn efforts- 4?'1 / 11/26/82 96.00 OO , OAYLA 2/29/82 .201 300040. CURAAVEELMyNy}}8A CLLp11 CL1FY~ OAYLA CRAVENwwgLLOW CLIFF ITY OK 73122 OKLAHtlMA CITY OK ' 73122 Moved; left. no address, V MELODY 6/13/$2 11/26/02 39.90 201 414540 DAGCN , M90DY DAOEN ..a 239 MOCKINGBIRD. LANs. 239EN70N 11OCKINODIRD LANE BUNTON T% 76'201 0 TX 76701 Unable t0 10Ca tfl. ' i r 101 374793 DAVE9 RICKY DAVE9 - RICKY 2100/82 2/13/82 11/26/82 2017. E -0073 NASH DR 00733 NASH DR. TX 75096 NO r95gOnSO to COllectl0n effOrtt- J I.. COLONY TX 79096. COLONY 'J 76066 EVILLG373E, O TXO 76069 No 05po se to COllectfon offor 2t5 /8a 69.00 ^1 J 201 381400 DAVIStLtS VIOLA ABT A t ILL 373E 1 I 11, 1 1 rnoe. a / --4, DATE 11/30/92 731P L O W 11 9 M-0 R I A''L N 0 8 P 1=7 A L BAD DEIIT TRANSFER REPORT FOR PERIOD fl/01/02 THRU 11/30/82 BALANCE _ PAATIENTNUMIM3ERR a~aaa PATIENT I.'~.ME 4Mta_._. _ 41**** GUARANTOR NAME arxa MIT _SCAR WMqg FF N_ AODR, CITY, 97. 21P ApDR, ClTY,BT, 21p ADMT ED DICNAROED pITQnFF Or ACCOUNT . M1l80/Bn. 11/Stb/82 117.00 J. , . KANDY No response to collection efforts. h l 1 390744 DAYp KANDY [l AY BtlX 1059 TX 76x66 SANOERBnX 1095 7X 76266 rBANO~R Rp77~1 tRiTT 3V81 3/02/8?. it/26i82 104.50 ~ ! t 381624 4I#WaVILLE LANDERS oLTX 75067 No response to Collection efforts, C9CgOX 063 YX 75065 l6W GREGORY 3/05/82 11/26/82 18.00 701 382437 DEV SEE OREOORY DEVRIE8 JAMGB M96 TX 76201 No response to collection efforts, h ill JAMES 046 tt?C) CEN ON TX 76201 OENN 1 361830 3D CgKyHR&S SUiTONE DORIB DD3ggICpkpERRqG98TONE DORTB No/0 spouse to collection efforts. 79.00 1'l D TX 76201 D6NT01J TX 76201 11/26/82 42.60 2/25/82 201 379417 DIJKSON ) OLENDA ggD~CKSOj{ICKORY tlC ' OLENDA No ?espouse to collection efforts, B W HICKORY MC TX 76201 BENT 14 TX 7!,101 D NTON a/07/BB 11/26/82 53.50 201 393439 DIJ(CKSRN , TALMADCE DICKENSON L DNtONIJOER 0215 2jty N LOCUST K8 TX 76201 No response to Collection efforts. .ti TX 76201... 0 NTON.:.. ' 201 370825 PDINNpGLLEpp~1606 P]pN,r R INONE ~~jWppED1I 3 N[NdN Nor spouse to collection efforts82 b9.00 e",b. SA AR TX 76266 0A10INt`HV]LLB TX 76240 JOHNNY /response to collection effortsB2 47,00 Ai 201 364545 DINWIOOIE JOHTXS 76IIO1 d ot,Ntl ARROLI' N ]aO N CARROLL TX 76201 Lai N O 464.75 , t01 382606 DITTMPRE UNICITY p0711T41MERE PAUL 3/04/82 3/04/8II 11/26/82 RT 4 DOX 57 DENTUNOX 07 TX- 76201 No response to collection efforts. ecr r b[iNtON TX 76IIOI HUN G Ng St5BVCLLBd AUOYYY. 7b240., EDOOLEY DVITDNMAN AUDREV No ~esponse to collection efforts~6 541. q5 101 308494 OAO r ItS',:.., VA 24426 .1 a%YB9 PHIp 76IIII6 ovedt8left no add e8ss, 11/86/82 759.90 101 433644 pOUGHERTY ROSE '03 p77 gg S AFGYL 69 76226,'-:.TX A - - 6111/82 202 300350 PDou HER623,PR.IEttIIFOSHVBANNIAH R~UORT94 CdRRAL MHPdlSE 76886 IoVeJtleft no address, 11/26/87 43 50 epnx gp N g TtlN _ 71(, .76@01 A 0 LP. I ~i1xw - d N , No /0spouse to Co1leCtfon efforts~2 56. r 201N'Y 267054 M TtIIT WAY, i RUBCALIg4553 ..,',M RTtlN82A, WAY. RUSSELL 1~~+ 8 M O 2 , .1 . 4. _ I -~1 PATE I f /30/82 7; 31; FL 0W tiEM0R I AL HOSP I T A L PA09 f.YJ.~ - KaT1 BAD DEBT TRANSFER REPORT FOR PERIOD 11/O1/S2-1HRV 11/30/82 PAT [ENT IJUMBEK NANMN PATIENT VA-11E ANNN NNNNN pUARANTOR NAIIE NN»w pV1ATE»,.TTEp BCHAROED WRITEU~F QPBAACCOVNT ~ AptlR, CITY, BT. IP AOM » PFX NUMOER ADOR, CITY. ST, ZIP ^ »r_ . HAROLD 2/09/87 2/0e/82 11/26/82 962,40 DOWDY ~Nr 101 374116 D014I)Y . TERESA ZI MOTINOO 1¢30 ~~110N00 . I EN 0 T% 76201 D TON TX 76201 No response to Collection effort. 101 370117 DOWLFR JEFFREY DOWLEu JEFFRev 2/21/82 2/27/82 11/26/82 2399 40 Rr IiT 3 BOX 950 -TX 76234 No response to collection efforts. SAIJOJ3R TX 76266 DECATUR 202 290894 1DUBEY UbT 0H{VNN TONYA 1) EYgNN BRUCE 3/05/87 11/Q6/8: 30,00 l D N on NN 76281 R 0W TX ' 76201 N0 rOSpons@ to collection efforts, f V p 201 401406 9'Ky~WK1r7pMANOR DA RHDt4DA 9319W10iITN06 MANOR DR RHONpA 5/01/82 it/26/92 :18100 'q LAKEUALLAl T% 75069 LAKE DALLAS TX ` 790617 No response t0 collection efforts, 101 369744 D914CAN LARRY DUNCAN LARRY 1/21/62 1/26/82 11/26/02 346t,00 2308 W ILLINOIS 2306 W ILLINOIS TX 75294 No response to collection efforts. 1 J~ DALLAS TX 75a2A DALLAS . DANNY 4113!82 11/:'n/82 66.00 r 201 389020 pDUNN 70NlktiQX 273 CARLAY pDTO Nt BOX 273 DD R 7x 76259 BNDER TX 76259 No r@spons@ to collection efforts. i y LORA 1(04/82 l/16/e2 11/26/82 315.70 101 364737 DUNK "02T1Q~ LAKE TRAIL TLtlRAX 76205 10 3E21 N LAKE TRAIL [iNTON • TX 76201 No response to Collection efforts ~ 1 fEN . ~ FREpDY 1/05/02 1/12/82 11/26/09 20994 101 369478 DURAW RUDNEY DURAN TX 76240 No response to collection efforts. •'11 " 212 BO9NT0N 212 pLONTO L, 1LLE TX 76240 CAIN E8ILL CA 11-JE 2/01/82 it/26/92 84.50 ••DURRET7 . CAROL 202 164966 DURRETF CAROL 21 STELLA #104 i•. 2311 STELLA 0104 a3N1ON TX 76201 BENTON Tx 76201 No response t0'collecti@n efforts. --1 { L HE KATIE 4/26/82 11/26/02 19 80 399469 DYE KATIE 201 L IEN AUBTIN 7X 76201 No response to collection efforts. X23 TON SCRIPTURE T% 76201 D 11124 NTO 1~ . r ' 3/20/81 11/26/82 149 45 2 71688 EASLFY . CAROL EABLFY , CAROL RT gg RT 2 00% 257 S. AUBRERO% Y 257 B TX 76227 AUBREY YX 76227 No response to collection efforts, 101 82024 FOIE ALANNA GBIE DANIEL 0/16/79 8/73/79 11/26/82 1378.25 4718 CORNELL DR 4216 CORNELL DR OAKLAND TX 75042 OARLAND YX 79042 NO response CO collection efforts. is/26/82 116 00 {DEAL EDENS NEAL 1/03/82 201 364513 EDENS RUB 248 001j0_ AU TX 76227 No response. SO CO11 @Ctiotl efforts. . ~ AUBR Y TB 76227 ...AUY ✓ 4 Ysb. I r it`: gL I f 1 "DATE II/30/82 701, K-L-O WH E M 0 R I A L 11 0 8 P I•T A L PAOE 6 r1 BAD DEBT TRANSFER REPORT FOR PERIOD I1/01/82 THRU 1113018V PA~ mi HUMBER rw•rkr PATIENT MAME +w~+ rrNar pUARANTOR NAME r3ra! DATE DATE. DAIC OF BALANCE P X ACCOUNT --X UM11ER ADD CITY. ST, ZIP ADBRR, CITY, aT, Z[P___-_- ADMITTED DIS HAROED WR7EOFF OF _ _ U . / g 201 431908 ED1WARDS MATTHtW EDWARD MATTHEW 8/02/82 11/26/82 60.50 59-16~~Ua?,EDOEr. 9916R TLEDOE C:- T11E C L Y TX 75056 HE COLONY T% 75056 Moved; left no address. 101 374108 ggL AOSADpI MARTHA g A88A01 ADDELNA68E 2/09/BJ 2/08/82 11/26/92 791.19 1 IA VIN0AIRPORT FO-WY TX 79062 2~yIEpAIRPORT FRWY TX 79062 No response to Collection efforts. It 7 11/ r L'w fOl 421790 L[WI9VIILLE DELT% 76067 LEWIgVlCE -JOSTX ' EPH 79067 No/nesPonse to7 collection effart602 122.60 2Dl 371414 ELBERT DApLE E ERY DALE 1/28/82 11/2b/82 92.00 020 LAKITIAVEN ESTATLB 0 LApKE HAVEN ESTATES LAKE DAL A TX 75065 L E bALLA6 T% 79069 No response to collection efforts. r 1 405369 LLIJNN NINA X TOMMY EARL 6/3D/82 11/26/82 38.00 LAKE OAS. TX 78065 E7E7 AA I4& DALLLggAB TX 75069 No response to Collection efforts. I 1126 ' E 201 " 410274 ~AEEOANTCISSTREET LEVOK 97049 OR OANMClTVREET LEOK 47047 No/response to collection eflorts02 42,50 R C~{ 201 38752P EEpOMODRpOK 571 (625 fI+AgKALLIN~OPHL PMbCp~(k1XF971(629 PARK MARRVIN 3/18182 11/26/82 38.00 4il... DSN7ON 7X, 76201. DENTON Tx 76201 No response to collection efforts. 204 210798 9gMOOR~fCpTT HELVIN 9E9Mg6O6RYCOtT MBLVIN 4/15/a2 li/26/82 94.50 DNTON tX, 76201.,- DENTON TX 76201 No response t0 Collection efforts, h 201 412114 EEpRO DD0?( 754 PAUL ER6 BO 794 PAUL 6/04/02 11/26/82 90.15 GuY ROANOKH TX 76262 pROANOCxE Tx '76262 NO response to collection efforts. 202 273383 Pjoffi"07g1 206 HICKQRYTXN 75034 p}1j~~pX0741 }OTXNL.A75034 6/21/02 to collection of forts g2 379,36 8tY0 202 1,65167 PSPIBMJxA692/904 AAOR98PIN ~80ISN8A5g CRESPIN 2/03/8? 11126/82 64.00 i• L S..•,.. LA k ALLAe,. . TX: :.76249 AKk.DALtA9 TX 7,6249 NO response to Collection efforts. 102 3t1407 EEpOPI O$A qp MONA ESPINLOLg n pu OU61'INE 2/25/82 3/03/92 11/26/82 1902,20 LAK1DA4LAS- ALAMtl TX .!:76065? :.LAKEADAb A I POBO% 652 TX .79069 No response to collection efforts,.: 9 . if { L62206 EBPtNOZA , ALMA gSIPPIINOpBI&E 012 NOLSERTO 2/09/82 I1/06/82 63.00 .w,.... a92? LOUI sit YM424.,y 7b20GGENTO~J 1-.'-T9 71201 No response to collection efforts. . QN f3N .ti 1MI.1i ' i I j M t. DATE 11/30/82 7:32 FLOW 1fEM0R I AL H08P I TAL PAGE 7__ BAD DEBT TRANSFER REPORT FOR PERIOD 11/01182.THRU 31/30/92 PP tIENT NUMOEH 0***A PATIENT ItAME wwww Ts F' F% IJUMBER DDRr CITY, ST, ZIP *.V*** GUARANTOR NAME rsrrw DATE GATE DATE OF BALANCE ADDR, CITY,B- ZIP ADMITTED DISCHARGED 6'RITBOFF OF ACCOUNT 201 401921 C31-ES , ANDREW E8TE8 , ^ANDREW r0/Ol/8? _ _....__.._.__...,Y~l . pp 0 Do:( 341 pp0 DpOX 341 11/26/82 122.13 ARUM N TX 76249 (1R UM TX 76249 No response to collection efforts. 201 142273 ESgTgr8p SUSANNF e8TdtlX 34L , ANDREW 6/29/8?. 11/26182 18,00 bLNtONEAK T% 76201 & 0 RUM TX 76244 No response to collection efforts. 202 290221 ETHER8DGE ROGER ETHEREDGG ROGER 5/12/e2 11/26/82 35.00 RUODELL 109 621 1824 RUDDELL 104 ON T% 76201 DENTON TX 76201 He response to collection efforts. i 201 389705 EUBANKS DOUGLAS EUBANKS 31 DOUGLAS 3/13/S2 11/26/82 123.00 V LAKE DALLAS TX 75065 LAKE ODALLAS TX 75065 NO response to collection efforts, 201 393496 EVVpANS r ARLANOIS EVVpANgS , RAYMOND 4/07/92 11/26/82 18.00 1 sir ~CNT4N8i PRAIRIE TX 76201 6ENTtlN PRA[Rlt 1'X 76201 NO response to collection efforts, jtp 102 349229 EVANB DANA E ANS DARYL 11/22/81 11/24/81 11/26/82 2192.65 ~{r t DX 43F R 18% 43F tfy VALSEY VIEW T% 76272 V LLEY VIEW TX 76272 No response to Collection efforts, 201 .389841 EVANB JOY EVANB RAYMOND 3/26 11/26/82 39.80 ' D4NTONPRAR]E 927 E PRARIE /82 1r TX 76201 DENTS TX 76901 No response to collection efforts. T ' 201 385849 EVANS RUTHIF MATLOCK , MYCHELLE 3/13/87 11/26/82 38100 1014 MOZINGO 1314 IOZINGO DENTON TX 76201 DENTON Tx 76201 No response to collection efforts, 7 .201410753 gEqVAN VALENCIA EVANS , RAYMOND ,9/31/82 11/26/82 59.73 WN NPRAIRIE g7 g l~ TX 76201 dENTt11JpRAIRIE TX 76201 NO response to collection efforts. 204 420307 FAL>NO BARREP/1 , TOMAS FALEREXOARRERA TOMAS 9/15/82 11126/82 840.30 I yp S TTEXAS 60a TAS DCNTON TX 76201 DENTON - TX 76205. Moved{ left no address, •r'1 t - / 4 218917 FERRYMAN VVONNE FERRYMAN 66 PO BOX 173 VVONIJE 1!/26/82 $0.00 JU9T[N4TH 6/!3/82 r ~ I 1. TX 76247 JUSTIN TX 76247 Arrangements not kept. 203 274670 D NT r KURT FINK KURT 5/13/82 11/26/82 58.00 DENON pEVELOPh;ENT ;ENTER .3704 S 2Nb.N29 V DGGNTON T% 76201 AUSTIN TX NO response to Collection efforts, 204 274670 FIN14 KU T FINK KURT 8/09/(32 11/26/82 38.00 .wM ENTON OEVELOPh,NT CENTER 370p 8 2ND,M29._. DUNION TX 76201 AUSTIN Tx' No response to collection efforts, I Y', 1 f l~if9 ~ • p~ r, DATE 11 /30/62 7: 32: F L 0 W 11 E M 0 R I A L H O 9 P. I T A L PAGE 0 BAD DENT TRANSFER REPORT FOR PERIOD 11/01/82 THRU 11/30/02 PATIENT NUMB~M +t*rATIENT NAME 4*4* nw«a♦ GUARANTOR DAME ***A DATE DATE: DATE OF BALANCE PFX NUMBE :DcR, CITY, 8T, 21P _MADDR, CIrY,B , 21P' _ ADMITTED DISCHARGED WRITEOFF OF ACCOUNT C b tlX MELISSA 9/18/87 !!/26/82 116.50 765201 : ,0&N7 .._t]N W 202 449569 DENTENOK MELTXSA PL U _ NIREN TX 76201 Unable to locate. ~ 2 81893 FRANKLIN PATSY FRANKLIN PATSY 5125/82 11/26/R2 104.06 ~ L~w:; DCNTONiCAN TX 76201 U NITONNCAN TX ' 76901 No response to collection efforts. ~ 204 90896 t REEMAN r ROBERT FREEMAN r ROBERT 5/23187 11/26/92 !60.00 n ~OVppTtl g N SYCAMORE TX 76201 OBN pO0TON E SYCAMORE 7X 76901 Moved; left no address. r GL . OGN ,rl 203 238220 OAINE , DANNY OAINES r MARY 9/19/82 I:i/26/e2 139. 60 lgpg pgUA1L RUN MR? 14H RUIJ Gsd CORtNTH 7X 76013 MRiN~H 7% Unable to locate. 1 201 443051 4OqALLqLANT LISA OAAgBLBLANNT LISA 9/04/82 11/26/82 18.00 D11NTONHOUp TX 76001 DEMTONRGUtl TX 76901 Unable to locate. 101 436212 OAR2L~INqOTON 9ELINUA OqpARL11400qTON BELINDA 0/19/02 9/17/82 11/26/02 741.60 , $0ANOK'~WX.. YX 76262 HANOKGWK OR TX 76262 Moved,, left no address. r 101 398739 GLADDEN NARLISS O11.AgI8DEN MARLISE 4/23/8:! 5/09/82 11/26/02 3419.55 p1AARR208 tltlfiHgM BT Y TX 79460 7 RAR6 ONIIAM $T r" TX 73460 No response to collection efforts',. . 101 94334 ORApp11Y LOYDELIA R DY CHARLIE 2/07/81 2/12/81 1:/76/02 468.31 TT 0 ~G~ AT 17 HWY 379 T% 76971 Unable to locate. OSOABOX 17 TX 76271 T11 202 323139 go7RAQO MICHAEL 0 Ag00t2 MICHAEL D 6125/82 11/26/82 1972.05 AIt0VL6 X_126 7X 76226 AROYLFOX 126 TX 76226 Unable to locate, 101 319920 gpORT7E7E7NLO7 S MAYIIILL DANNY TE??/I L B MAYHILL' RBANNY 9/22/92 9/2$/82 11/26/82 115.21 D5NTbN TX 76901 ENTOId - TX 76201 Unable to locate. AN N RONALD 9/10/82 11/26/82 30.00 ry CLFVELAND 10SC CLEVELAND 02 y 3442b7 1onEtrN GN1TpDN RONTXD 76261 ff11lRNTON TX 76901 Unable to locate. 201 444026 No M q G0 NNNE TEMMdt{8 000 NN L agTEMMtlNS , JIM 9/06/82 1126/82 75.23 w AEL I ' . TX 76067MN01 ILLS TX 79067 Unable to locate. 1. 201 453118 kHHkAANlB`ODNp XANDtF gHHpAATNION AANDIE 10/04/82 11/26/62 81,10 ,....6 DINYONALLAS DR TX 76205 tlENJODALLAS ON TX 76201 Unable to locate. ,J F1 4 4. 1 , PAGE DATE l 1 /30/S2 7!32: F L 0 W M E M 0 R I A L H tl S P Y 7 A L DAD DEBT TRANSFER REPORT FUR PER❑❑IODDN l1/01162 THRU 31/30/82 77 gg p PATIENT WUMDER MRMMA ppAT[GNT NAME TRIM M*aRADDR, ARR4YAMF ZIPRMR A15MIlIED DISCHARGED WRITEOFF OFUAACCCOUNT P tJUM40 ADUR, CITY, ST, ZIP _ 9/24/62 , 9/26/82 it/26/82 690.70 y , 103 2035,17 HARRIsON , BILLY HARpR RISUN TAMMfB ` osr 5TH 7X 78266 9AMOER 5TH TX 76266 No response to collection efforts, J W 8 0 R R 7 p 101 A253b3 H3~y108UIJppWN , ROY 1tHy~ SUNDOWN , D&VOTA 7/ 14/D2 7/16/82 11/26/82 4326.50 3gg 1 0E S TX 76201 DENT ON TX 76201 No response to collection efforts. ON I JIMMY 9/18/02 11/26/02 38,35 f♦ HAWK 1 0 Bo JS 201 447706 pHAWKIVS JIMMY $ K0 DO 6 RX XO TX 76249 0600 to locato, ' r? um TX 76244 RUM 62.00 20t 428466 IH`ApYWARD LEONARD HOApYWARD LEONARD 7723/6P. ifJ26/02 DGNT¢UV E APT 210 TX 76201 DENTOHV E APT 215 TX 76201 Unable t0 locate. G 6g RR1 L 201 446690 RHCSS C18CO t1HP X2 HWY 2934YX E 78634 Rp Cg MHp 02 HWY Kg34TX 75034 Unable /to 100atO, !!/26/82 63,50 r jt✓ 19 201 452136 H LN 4 BOX 302 TDEDRAX 76201 HHpLLEAOf 302 DEBRA 10/02/62 1112b/t12 38,00 M RD 0 J04 7X 76201 Unable to locate, !.r LORI 10!06!62 11/26/82 33.50 1 483662 HQRTUM LORI gHgqgYOUNu TX 76203 UnablO to locate, 7 UT IVE MHP LO1 4 RTTX 76201 PEYONIVE MHp LOT 4 tlD' J I ON 72. DGNT N 201 446138 1J1tAC0f1KSON HARDY 11SKRtlMCKINNGY ' HARDY g. !!/26/62 Df4NTONICKINNEY TX 76201 DENTOtJ TX 20136 Viable ablble t k0 locate, ' 201 7/11/62 11/26/82 62.00 4 JAMES 424267 JACKSOOpN JAMES JR JACKSON 54 TX 75034 Unable to locate, 72 RITt6000X 54 • 7X 75034 FRISCD 1 ~lr a, JAMBS 9/25/82 l1/26/62 .00 'd 202 209476 RRJAfC~B0Ut01X S4 A RANDAI. JACKSON 7503A FAIBCUUGX 54A 7X 75034 Unable t0 locate, 151, 2a ;'1 / CRISCO TT 1~ TMMO} V~ 201 425421 p NTONDtlX 1009 l'N1';tRBTXYn 7b201 oHNgONOX 1005 UNtVERDITXM7620Y Unable to 10Cate. LI/26/62 E~ D 11/26102 360.00 203 32605 JyAyRRL+HUH_ MAN JJ7A`RAPIL ELL DF.NN113 5/22/82 :.l 3UGMTONOItAB TX 76201 hENT01J 7X 76201 Unable to locate, JOVE 8/23/82 11/26/02 472.2"• J 203 370130 JIIIENEZ ALEX J1MLfOFZ `21 STELLA k9 2121 STELLA X5 TX 76201 Htvedl left 00 address, DGNTON TX 76201 DENTON - r ' PAGE l0 ~ L+09P I-TAL ( L b W. N G M b p 1 A 4 DATE 11/30/82 7;33. PATIENT I•JUMGEH •MM#ar pp DAD OE01 TRANSFER REPORT FOR PERIOD 11/O1/eR THRU LS/30/02 OAT OF DALANCE ~ _y )1uerk GUARANTOR NAMF~ OAYE DAT T1£NT 1~/d1E •+1+N ADOR, CITYf 8T, IP AUMITTHD DIOCHANGEp NRI EOFF OF»VACCOUNT PFX 14UMDER A90R- C1TY, STf _ZIP,...»_.._ _ 6108/82 11/26/92 86.75 r- 2p1 413401 JgqOSAbRRNARD STREN4 8TE7%N 76201 D25TUjRNARO „µATX 76201 No response to collection efforts. 176 e0 f~:'- UONTON 7118/79 7/20/79 11/26/92 tl-DNCA 70511A MARVA 101 71308 Jg7p05S0AR911R0 ' 705 MAROURO T% No response to eullacLtan efforts. '1 DALLAS TX ALLAS ii/2b/92 104.35 l . 9g JOANNA 7/13/92 201 424986 J,11JOHNSOOpN HER01b ip55N0AILEY 7X 76QOk Novedl left no address. h DGNTONLLEY TX 76404 ENT N 11/96/03 4G. 00 1. 1'... ARMANDA 6/10/83 JJAMES L THC0 Ilo4101 left no address. 201 414029 Uktl00S7 WORTH CR N14 3 0o FT 410ATH DR N14 7X 76201 r 1;:. DEN O 7k 76-01 D NrON g g goo ?/19/82 2/22192 ill3b/02 366.70 , 101 177667 DVX022u 4 4 W, BROApLIA p 1O1yYU[NT JUT%A 76218 No response to collection efforts, nn 33 1 / PYLOT p01N~ T% 76259 11/-6103 38.00 ZALIA 6/O5/e2 201 412330 ffl~ ON KEVCN J22X81'NONALO TX 76801 No response to collection efforts. r, 2 CDONALD TX 76201 ONTON 495. 1o I^ t..;..: MACH 9/18/02 9/17/82 11/26/92 , o HACK J HN8ON Unable to locate, '1 104 270454 JG~~A}}$$N921~ORADSHAW 5 DR/iDSHA.N TX 76201 DLNTON T% 76901., AENTON 6116102 ll/46/D2 69•oq L TOMMY 201 415901 agTNo00% 131 DANNY pJON4ES TX 76201 No response to collection efforts. ~Nj TX .76-01 DENTONDx 131 11/26/02 40.00 I 11A V1N 4/09/02 pONNA R74 O 40! 393918 ~ N BnX l0ab 811/.D'1 HDRE DEN OX 10-0 BHADV aHOR X 76901 No response to collection efforts. 0~'j YX 76-01 bENTON Q6, 30 L L pN , DARnELL W 3/16/92 3/20/82 11/26/92 Y 101 369074 N O~OT 12 LAKS hlICJ1REIXEDT76201 DENTOtOT 12 LAKE CHORETX 76goi Arrangements not kept, ON r II,.C%......, pN , CHARLES Q/09/82 2/14/82 1 L/26/92 1765. OS 104 12534 JgqagQNggESq KAREN DENTF ST No res onse to collection efforts, DHNT0NY ST, .TX :.76901 dEN N TX 76901 p 00 Lw.~a. 11/26/82 itS F' IVtAN 5130192 407996 JONES R6NALDt JONES 401 1l770 VILLAGE EAST N20Q 1706 VtLLAOE 6A8T^a2O2T%` 76MO is -'011N~ON TX 76201 Arrangements not kept. Ob 60 r T 6 1493 oQNTON 0/26/82 11/26/02 ATRICIA J AREI i pA7RICIA 1 1. 406 pUARfiZOOK 19 p1~ g TX .76401 Unablo to locate. 51 ,J g 7 s P:[ 7X -76gOi-J 91108NBD% 19 r, .:c,S~ ~~DGFfTON L, . t(( 1 ~ DATE 11/30/82 7:32 F L 0 W 11 E M O R I A L H 0 S P 1 7 A L PADS it lam DAD DEBT TRANSFER REPORT FOR PERIOD 11101182 THRV II/30/87 ` PATIENT NUMBER wMwww ppATfENT I;Ai1E awaw ##www GUARANTOR NAME #ww+ DATE DATE DATE ppP- BALANCE PFX NUMBER ADhR, CITY, ST, ZIP ADDR, CITY,BTr ZIP AD14ITTED DISCHARGED WRITEOFF OF ACCOUNT 1 . 101 391940 ItA0AW0SYCAMORE AREZOtl KAOAZOARAN1012 HD T% 1 76201 No / @S/40o11¢at10n efforts. 23.70 NTON TX 76201 pppp pp0pXX Pons¢ 1O Jc57 201 401380 ~ELLY YL0gEEle89 LISA TX 77696 SIL8BEE1p09 BENJAMIN '77696 NO response to collection Offorts82 40,00 r 202 91581 K1EE3Lg8LgIY1 , 11ICHAEr 1l4ALILRB , KATHERINE 4/07/87 11/26/82 69.47 ly DSNTONORMAN TX 76201 DNTONOAMAN TX . 76201 No response to collection efforts, 1 400846 K$NNEDY SHARON KENNPUY SHARON 6/30/82 il/26/82 57.29 AUDA9YpX 236 J TX 76227 AT UBREY 111 7% 76227 No response t0 Collection efforts. V x.7.7 202 393090 KERR , DENNIS /BRR , PATSY 6/t2/OR 11/26/87 26.00 ^q31 pENIBON 431 BENISON BGNibN TX 762UfENTON TX 76201 No response to collection efforts, 3 ~ 101 39092P K`oIILLqL9gIAN VIRGINIA KtIILLLJAN DAVID 3/30/82 4/05/82 11126/62 61,40 BANOERNANdR CT TX 76266 SANGHMANOA CT TX 76266 NO r¢SPonS¢ to collection efforts. al 101 439354 K1140 JUSTIN KNO TIMMY S/II/02 8/12/02 11/26/82 359.25 v f: aW00UEKNdD RANCH TX 76226 A AVL~ILOT KNOB RANCH TX 76226 Moved; left no address, 201 422253 KISHKETON ELVUS KISHASTON DORIS 7/05/07 11/26/82 38.00 r r,. 7919 APT D MELROSE LN 7313 APT D MELROSE LN ~L. OKL HOMA tTY OK 73127 OKLAHOMA OK 73127 NO POSponse to Collection efforts, 71 204 286112 K0NpADE DALE KNABE DALE 8/16/92 11/26/92 109.75 C ' DGNTONPONbER TX 76201 DBNTONPtlNOER TX 76201 Arrangements not kept, 101 307799 aKaaNaIArT WORTH DR Lot 9 N 2KaNgl2gATF~1T WORTH LOT 64MARK 4/22/82 4/23/04 11/26/02 271.05 / ` L.s DENTON YX 7640f DENT074 TX 76202 Novedl left no address, 102 307795 KNIATT RODIN KNIATi MARK 5/24/92 9/28/60 11/26/82' 3116.49 t M 2212 PI WORTH rd LOT 54 2212 FT WORTH LOT 94 r7:- DENTON T% 76201 DENTON T% 76202 Novedl left no address, 101. z3 I„~ 392116 KNIPOtN1O FF BEVERLY KRNITFONO DAVID 5/21/82 5/24/82 it/26/02 1397.70 ~TTTI NE MACE T% 750bS DAESBO`T60-G/0 CUM11INM ¢ ^o 6 L ~ O 64011 Arrangements not kept, 201 411561 9K9OHNI8 N CHEYEA,VE KOHNi£IN BARBARA 6/02182 11/26/82 64.50 T" OCNTQN RAIRIE TX 76201 WTOIdPAAIRIE TX 76801 No vesponSa V to collection efforts, U r~. 71.57"T t1~1; 1 4wv'.~DATfi 11/30/82 7s32s• P. L 0 W. . 11 E M 0 R I •A L H 0 8 P 1 T A L PAGE l2 j 41ZCd DAD DEDT TRANSFER REPORT FOR PERIOD 11/Ol/82 THRU 11/30/8: PATIENT NUMO'N vwdvv p A... DAME rvvv wwwww GUARANTOR NAME wwww DATE DATE pppTTE OF BALANCE ATIENT . PFX I4UMDE ADDRi CtTYr ST. ZIP ADOR. CITYoSTi ZIP ADMITTED DISCHARGED WgITEOFF OF ACCOUNT 1 r LAS QO1 409433 DENTONR214Z CASEY 76201 92 KONCHA NTO JA2142 CASXV 76201 No/response to collection effO t5 88 70.25 "1 101 421453 LLLgAQFLLLp AN 0 VAU EY SHEREE 36OEBLppE 0 VALLEY N115TY 7/03/82 7/07/82 11/26182 42.90 / Sv.:6'L...... 9318ARDOAN TX 78080. Al HARDBUN - Tx 75080 Unable to locate. ' 101 143719 1A NEN ELM M11 MARIA 14t2NNEN ELM MARIA 10/01/80 10/07/90 11/26/ek 1064.10 - DL*NTDN YX 76201' DJ NTOtJ TX 76201 Arrangements not kept. AS 201 405511 3L 111THIp . MONICA YEN . CH0140 ~ 5/16/82 it/26/92 39. I0 tL..,... tl NTONRSERCLIFP TX 76201• ~~NTONRTERCLtFP TX 76261' No response to collection efforts 1 lot 340315 gLgTATR~ DOX 172, EOTILIA RLRARSAS SDX 172 MAROARITO l1/19/Bl 11/21/81 11/26/82 653.96 1t:- CRS6C0 TX 79034 FRI8C0 TX 75034 Arrangements not kept, 11 201 441471 LARKIRING STANLEY L8ARKINS MILDRED 0/30/81 11/26/82 •38.00 rk'a : DENTON9g . TX 76201 DENTONB.,:,... TX 76201 No response to collection efforts. 1 LN 15:x, 201 436990 'ID.GWIDELIVERY DG6D[E , `W88V~LVERY. 0ENN18 0/15/II2 11/26/88 20.00 r TX 79067 TX 75067 Unable to locate. 201 407 BALL 966 L TRAM JAMES 7A7THAM )AME8 9/22182 l1/26/07 62.1'5 • EPSURN DR TX 75229. ~A71 4ECDURN DR T% .76289 No response to collection efforts. f 1>. LLAS ,1 201 402594 LAWSON DORIS LgTWSO1N JAMES 5/05/82 11/26/82 62.00 g 1 ~ i~R18~4 Tx. 79034 pRtBCD TX 75034 No response to collection efforts. ! y' 201 206771 6J4 T8 LONDONDERRY L14 ggDO5'. 6 4?OLONDON0Er1RY p~O;WENDOLYN 9/30/02 11/26/82 49,85 $g o x 76201.. 0 NTON TX 76901 No response to collection efforts. 102 338376 IACHERY Li1Ap7qWSOIN{, CHARLES R 4/23/02 4/29/82 11/26/82 lot. 94 Q~~CppORONADO 01041 Tx , 7bZ01`L:'. DEN tlNHITE OAK ST T% 76201 No response to collodion efforts.. ~j qqrr gg MMtltl ~ y 201 423244 LHWI VItlD6(LE bR11'~ FRATX. 75067. :LL+WI8VIL4l~LLE IRIV FRANK 7/00/0k 11/26/011 1B 00 xx 75067 No response to collection efforts. r 1 1 201 406728 LpIGYOFOR~g 33 DAVID D ONfnD]gt 33 DAVID 9/10/82 11/26/02 107.60 I' • . • PLET" DIkT" TX 7050'L ON61N?5. o:.. TX 76258 No rosponse to collection efforts. Pf i 1 4~ DATE 11 /30/82 7:02! F L O W 11 E M O R I A L 'H 0 8 A I T A L PACE 13 a,~a DAD DEBI TRANSFER REPORT FOR PERIOD 11/01/92 THRU 11/30/82 PATIENT 14UMBER wwywv PATIENT 14411E +www wwwww OVARAI.'7OR NAME wwww DATE DATE DATE OF BALANCp PFX -----R ADDRr CITY- -ST, - ZIP r ADDR, CITY,8T, ZIP ADMITTED DIeCHAROED WRITEOFF OF ACCOUNT it'll 402 366161 HEN - BILLY LEE r BILLY 7/03/82 / LOCUST 802 N LOCUST 11/26/82 348,40 16 it. DE TON TX 76201 DENTON TX 76201 Hovedl left no address, q 201 420935 L E - CHERRY LEE DILLY 7/01/82 11/26/82 86.25 ~ N pMITAN TRIA1, 802 N LOCUST C TX 76201 11ENTON TX 76201 Moved{ loft no address, ;ry 201 217612 LEE CLARK LEE r PEGGY 6/18/82 ,00 . NT DN MULBERRY TX 76201 UNTON MULBERRY 11/26/82 38 D TX 76201 NO response to collection efforts, U 102 156380 14.9E 8tlX 23 ONETA L9E - ONETA 5/02/82 5/15/82 11/26/82 291,20 ' D N ON TX 76201 OT 7 Box 23 201 4'57960 LSCMA1I4.~N DON LDEEI1AtJN DON% 76201 10/20/82 is not kept, 11/26/82 38.00 ..,y DGNT O MOAK 8102 bib W DAN 810 L TX 76201 ~ENTON TX 76205 UBa618 t0 looatA, 202 457960 Li16GG~MA14DAK 8102 DON Li~6MANNOAft M10'r DON 10/24/82 11/26/82 38.00 WON TX 76201 ~ENTON TX 76201 'Unable t0 locate, { f 205 175919 gLgEFLpoFR ROBERT JN LEFLFH ROBERT JR 6/10/82 31/26/82 38100 bGNTtlNi WORTH DR 894 TX 761;01 DENTONT WORTH OR 854 TX 76201 Unable t0 1DCat8, 3 7V 202 437533 LESSER LEE LESSEN KAREN 9/09/82 11/26/92 126.25 COPPERAS COVE 3205 ANO DR M~1lU19TT DENTON TX 76201 CRAPEVtN6 TX 76050 Unable to locate, 201 419416 LEWIS JONATHAN ' RT 4 LEWIS TTqqWOODY 6/28/82 11/26/82 69.45 l~ A70KA OK 74529 A70fSA OK 74525 No response to collection efforts, 1 lot 420310 LGWIS VERNON LEWiB VERNON 7/23/82 e/01/82 11/26/82 2838.35 P. 0, BOX 811 P. [[11 BOX 811 !w, SAIrrJOE ~HR{ qC TX 76266 IBANGFHR{ TX 76266 Unable t0 locate, el 101 162016 JP VIEW OLM TRAIL r_t1( 76272 VI7LFYIVItl&W TRAIL = JACK 3/24/80 3/'30/80 11/26/82 46,49 VALL VIS I Tk 76272 No response to collection efforts, ;#60 201 20629d 99 1 CORDELL 11AR TX 76201 9 ingLONDELL MARY locate, 11/26/02 59,10 76205 Unable 7/22/02 DENTON 1 J 208 123075 Ll4ALLTNN lfAMIE 13 yIN08TOIJ MAMSE 5/56/92 11/26/82 118.10 8 4 ALLPN 8~9 ALL N_ 0 NTON TX. 76201 DENTON TX 76201 No response to collection efforts, 1r , i ! j 1 o' 1 R 1I I .,'DAIS 11/30/82 7133: F L 0 W It E M 0 R I A L H 0 8 P I-T A L PAGE 14 ~ DAD DEBT TRANSFER REPOnT FOR PERIOD 11/01/82 THnU 11/30/02 !j PATIENT NUM05a rrllwn PATIENT VA.ME 4r4n nnMrr GUARANTOR NAME rr»r DATE DATE DATE OF UALANf89 PFX NUMBER ADCR, CITY, ST, TIP ADD-, CI7Y18T+ 1P ADMITTED OtSCHAROED WRITEOFF OF ACCOUNT L 1 327098 LOFJWIN BHIRLEV 17,OObFTIN WANDA 10/13182 ti/26/82 58.00 r C , AUDREYO% 207 TX ..76227 . bANTONCUflT T% 76201 Unable to locate, 202 327098 LOFTIN SHIRLEY R PPY WANDA 5/20/82 11/26/82 43.30 81j DOX 237 R 2 gDX 237 Unable to locate rl5_,;, AU8 6Y TX _ 76227 L A OYL T% 76227 1 201 444588 LONBWAY LOUIS dNSWAY LOUIS 9/08182 11/26/82 at. 10 RT n& 260E I BOX 260E Unable to locate, Ctllw'.._ _ DUN ION : - TX 762201., 14HTO~N TX 76205 ii. »20 430371 tLOPEZ gN70NANLAND IIARTXS 7tiS201 DEM701aAKLAND RATXEL 76201 Unable/to locate, 11/26/92 40.75 t~ UlC 2p 4 5/0 1 /q2 201 401273 Rol hOU18E APT 15 I IOE TX" 76201 - DSEN1OOOUISE APT 15 NOTX 76801 NO response to collection affo~ts 02 125.50 911, N 3 LYNCH CLENDA LYNCH , OLENDA 4/01182 4/03/62 11/26/82 166, 55 5 SRUTH81DE 12tl 80UTHRIDE r kfI t01 439 0082 2 ANOF . Tk. 76266 ANOgn TX 76266 No rOSponso to collection efforts, 79 LYNCH JERja L NCH JESSE 5/05/82 11/26/82 77.00 1 9 gAST OAK ii 5 Er/ OAK DDNTON TX :.76201, D NT04 ttTX 76201 Movedl left no address, 9 204 328054 MAtOIK,AOEE NNUaR7H 11 1,l, PMICHAEL OAILLACG NM P, A176C14AEL 4/16/82 11/26/82 76.00 r 1:-« LGWJBVSLLG TX 750b7...; LEWIBVLL~ 7X 75067 Moved; left no address, r~ 202 250793 MAR;SCU CONNIF MADISON JANET 4/23/82 11/26182 79.00 ^0 UD9ELL 052 88008 RVDDELL 052 r 6.,.,T_ . EUNTOI/2.W H1CKCtt , i YX 76201 061NY N, 101/2. TX . 76201 No response t0 collection efforts, r.., Ill S MHEN AHEN TX ItAROARET M HER W E{ICKORY MAROARET 6/08/02 11/26/82 38.00 203 339 N ON 7b@O1 NTON YX 76205 Movedl left no address. tt;$ir 101 371039 IP~NOFL ROSAR10 M NOEL. JOROE 1130/82 2/14/82 11/26/02 508,59 E, MCKINNEI D 1 D MCKINNEY 0133Yr.= NTON --TX ,..76201.'. NT N.. T4 76201 Arrangements not kept. ~ 201 416925 MAN i5 JF.FFAaY SMSOApNggtE THOMAS 6/20/82 11/26102 9L 75 C.Paa., p1N01CCtlRMtCK _ TX 7620t DENTdNREBNdRIAR TX 76201 NO response to collection efforts, 1 205 169776 ApNNpg , MARK MANN MARK 1/29/82 11/26/82 100.40 t GNTdNRNARD „,.YX.:. 768ot DENTDNRNARO TX 76201 Unable to locate. i, ~I f I , 'i f. F L O W 11 V M d R I A t. H O 8 P I T A L PAGE '15 _ ~ DnrE 1100r92 7:33: DAD DEST TRANSFER REPORT FOR PERIOD 11/01/02.TNRU ti/30/82 / ***A* OUAnANTOR NAME ***r DATE DATE DAT OF BALANCE k PFPATI% ENT NUMUEW NUMBER *04014 ADDR, PATIENT CITY, 9Tt•'!.tT, aZI* IP ADD CITY, 9T, 21P ADMITTED DISCHARGED WRIrEOFF bFrrACCOUNT r - w rr r r 1 ..r r. r..rr rww..u rr.. r...a r.. r.• .w r..... r.. yr.+r err r..rr.. r...,..r..r-- • 11/26/82 b6.30 , 210 59230 Mqq+pp+4UMORSE DOROTHY gMg04UMORSE'. DOROTHY 9124/82 3 DDNTCN T% 76201 OENTON TX 76201 Moved; left no address, L 201 439883 MSSA~LIlFOTELLA 11235 KATHRYN 2A1lE8TELLA 0236 ' KATHRYN 9/13/92 fl/26/82 58.00 0 D NTON TX 76201 D NTON TX 76201 - Unable to locate, V JOHN 7/24/82 1/26/02 38.00 rte" \ 201 428932 MORTON JOHN MARTIN , g EtlU T% TX Unable to locate, PO Rq% 136 SOOUROX 136 MARTIN , CHAROLETTE 5/23%92 • 1/26/82 55.90 2p2 34334 MARTIN TEX It7 f DOX 62AL 0611 DOX 62AL TX 76249 ARUM TX 76044 No response to collection efforts. ~ yy gg , 201 824139 D&f281TV C111' hpizllTX UNIVANBlJITY CITY APT 1% 76201 NO response toC011eotion efforts 82 54.75 DENNT TX 76201 DENT i1/2b/92 125.25 D JACKIE MASSAY , JACKIE 5/16/92 ' V 201 409849 TN?OL RT 5 LOT 56 TWIN LAKES RT LOT 96 TW1N LAP BTXH 76201 DENTON TX 76201 Unable t0 locate, ~r E N O N pt 1 4x4419 TITr""ANA INN CINTX 76201 TROP4CANA INN 0203 2509x3976201 Naveddl eft RO address, ti/96/02 33,00 OEN1'ON n NT 101 424419 MATtIEON CINDY MATHFBON , RgqNNIE 9f18/82 8120/92 !1126192 746.10 1 j TROPI,ANA INN 2905 1 39 TAAPICANA 0203 MoYOd1 left no address, D NTON TX 76201 DENTON TX 76201 ,V VARY MANEBON r RONNIE 8/18/82 8/20192 11/^26/82 !!03.15 j; 101 4x7609 Mp9AgTOIBgESOIg N TRUp1Ck1?A ItlCANA 1905 I39 N BGNTbN TX 76201 ROVI TX 76201 Moved-, left no address, " J ~ 11/26/82 68 75 DENTO N HRERttlpJDERT80N , MARY 7117/82 201 426504 NN470R@W9 VARY M20 • 8g0 AODERTBON TX 76201 DENTt1N TX 76201 No-'rdspbnfe to Collection Offorts, 11/26/82 40 75 1 201 404442 MATTHEWS NICHOLAS VI.TNEWS , NICHOLAS 5/10/82 DE M~iEADOW M6 RS~l PATpICK LA AYE PL 32952 ONTtl 7J T% 76201 rl" R ITt No response to collection efforts, i " 7/19/82 11/26/82 45.00 '202 356431 MATUfiEWSRI ANTHONY 1,+,TUfflstt ANTHONY E07 CGRONAtlO 204 07 pOR NA00 204 7X 76201 No response to collection efforts, .L DGGNTON TX 76201 WNTO14 201 425239 ©31DVLy1AqlN.pp STREET STEVE MAUDLF/I~~LNtg , 97EVfi 7/23/82 11/26/82. 04• 75 v ~ LGWSSVILLE TX 78067 4GWIBVTELLET.. TX 75067 Unable to locate, t t, !ti, 1 DATE 11/30192 7; 33 F L d W' N E M O R 1 A L HOOP t-T A L PAGE ll. j, BAD DEBT TRANSFER REPORT FOR PF.R10b { PATIENT JU,4 rwt PATIENT NAMEg, +*ar 11/01/82 TIiRV 1I/30/82 rr PFX tJ~MDEE R V ♦wN ADGR, CITY, $T, 22P n»wGUARANTOR NNAME +Iaf.r DATE pATTE DAIg OF DALAN E ^I " ADDR, CITY,B7, ZIp AbMIT7ED D18CHAROED WRITEOPF OF ACC~UNT 201 412387 MAUPIN RENfiE MAUuP ItJ l Ai t. 809 BERNARD $09 BERNARD RENEE 6/05/62 11/24/82 19,00 / DENTON TX 76201 DENTON 102 385351 ryCCA N - - TX . 76901 No response to Collection efforts. fl TWIN LAKES I•H~,LINDA MC A[N GARY LEE 7/27/82 7/29/62 11/26/02 D NT N 2P N1IN LAKES MHP 1376,45 TX 76201 TX 76201 Arrangements not kept. 201 410019 MCCAL CHRIBTOPM~ BBTCHR05DER A R7 1qX t DNT EBiA7E TX 76201 DgNfi1J JODV 9/29/0II tt/94/82 69.25 DUN 10 DqX 1 DNT ESTATE 201 416735 MCCANN TX 76201 No response to collection efforts, ElllGNTON AMARILLO JOHNNY MCCAt PAUL 5G, 1 r 1 A ARILLO 6/19/82 11/76/82 00 TX 76901 UNTO O TX 7620'1' No response to 'Ol?OctiOn efforts. 102 203083 MC1CAULEY DONNA !MSCCAULEY 5G N 17OOD DG1+TUNWOOD , ROBERT 6/20/02 6/90/82 11126/$2 778,00 D NTON TX 76201 TX 76901 Unable t0 loCato, 1 101 391011 GTN?gNOXK101 ELVT% „ 76901 ~NJO pO%K101, FRANK W 3/30/82 4/01/02 I1/96/82 gg,BD 102 55 MCCOY Y TX 76201 No response to eolroctlon efforts, ^ gg gg DEBBIE MCC``ppcogyy ARON 3/18/62 5/20/82 11/26/82 722.15 t^ 1,1« 7281 1NTONWOdD $T 7X ,...76201 , „!~&NTgtJWgOD STMT f 204 4811 gg - TX 70201 No response to co77ectfon efforts, 6 gMCgppNrGNHNSON' CLADYB gMqppCaappAD6 LUTHER' 5/22/82 1 L, TX 76901 ISENYONHNOON 11/96/82 14 102 Cp ALL' 7X ' 76201 No response to collection efforts, 05 65805 M DADS , JILL $ NT NLEN, DE~AD£ EN " L. : S D LEON 4/1018R 4/20/82 11/96/82 691, t0 Tx ..'76IIO1 NY014 TX 76201 Arrangements not kept, 201 403105 1M1&DAAg0j rOTT LAURA MCbADE LAURA 5/06/82 ~CgT . t)GNTb TX 76201, EO T 11/26/82 46.25 - TX 76201 No response to C011001on efforts, 201 421636 COONALn PHILIP ppMMCD90g4AAx4fgnp~bb PHILIP 7/03/02 I1/II6/02 43.25 ;VA FR[BCO TX..; 77777... . LANCABTLIt1 TX Arrangements not kept, 201 423032 CO X I KENNETH. M OAU0 1 y 30 799-q rr R N081 KENNETH 7/01/82 11/£6/$,R 244,75 _AtiO&R, t. TX..7b266.:':.:.B~NOHROX,799 A 8r TX 76266 No response to coliamon efforts. , " 202 228999 7M73O3HENRY ALON20 STAND~, LUCY 7/29/52 11/26/82 38.00 DGNTONEXANDER 7g 3 /IL.EXANOER 7X 7694! DENTDN TX 76201 No.rkspens4 to collection efforts, , I J ,r1MY. f t, - _ _ _ 11 0 9 P I T A L PAGE 17 4w DATE 11/30182 7:33: F L 0 W 11 E M 0 R I A L DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/02 T14RU i1/30/88 !I TT wwwrw gqVARANTgR NAME wrtwr DA DAtE PpATE paF BALANCE PATIENT NUMDEN mwwwADPPAT1C1t'VIWIST, E 21p ,,DR, ANTOR N Z1P AOMI_yE0 A18CHAR OED l:RIT90I: OF ACCOUNT pPX NUMBER -gg__-6 ` 11/26!82 139. 7D ~ . 202 392662 MCggKRLVA JAMES MCKE4VA JAMES 5/30/92 AIEW40DOL1NK __E$ ..DENTON BOLINK T% 76903 Arrangements not kept. 2 25,00 EN 0 TX 76201 Ir ~ t t/26!8 "y 1 439319 RMRCKI33NN0 BRANDY MC0 mg,,LLOCUST , T% OAVLA 76201 Unable to 8/23102 1DCate. DGN QNI 5 TX 76201 DEENT1011AA E 1/27/8.x. 11/26/82 00 .60 CYNTHIA LE6r , CYNTHIA &qy N HpTCH E. R 207 21+919 MCLyy ELLAN AA TX 75067 Arrdn9ements not kept. LGWIBVILLEHER TX 79067 WtOV1LLE LOU ' 7/02/92 1112b/92 84.00 f 20t 421172 MC9VEARV JAMES MpGUWARY 02 TX 76201 ' Unable t0 100dte, ,A 910 W OAK #2 TX 76201 DENTON LI1 DDNTON tOl 444760 MD6gg9CALFCFFiURCH CARLA MEDCAALFH k , CARLA 9l09(tl2 9lLi(82 it/26/02 439 7D LEW[BVRUR TX 79067 {S.EW &ILL6CH T% 79067 Unable to lOCatO, JOHN 7/10/82 11/26/82 47,00 JOHN MEEK9 , 201 424190 MEEK9 DOxx 034 TX 76947 Moved; left no address, B0~ 934 Ix 76247 JUSTIN JU TIN 0/30192 11/26/82 02.50 JOHN Eg JOHIJ 202 424190 MTi EEOPIK?gCAIJA INN 0317 1 ICANA INN 0317 TX 76201 tioved; Loft no address. 3 DtINTON TX 7b201 D NON 11/26/82 105 00 { 201 439297 MUSHAAL ZEYAD MMuKNSHAHBITV CITY x117ZEYAD 8/11/82 e ll IyyORBITY C1T1'"x117 TX 76201 DENT014 TX 76201 Unable t0 locate, ' DU NTON 11/26/82 72,85 i~ r 203 4614,1 MBTCALF DEANNA 9l0E0 OSCAR 6/24/82 LOCUST TX 76201 Moved! loft no address. DENTDMLOCUBT TX 76201 DETKNTO)J DGNTOh I1/26182 133.00 -d 2 2 404863 ~j4KAVE E WSNBtlR PLDN~tJ4A 1I4AVE.E WINSOR Pl N IE76301 Movedo/lest no address. 7X 76201 DRNTON RENOA 9/05!02 1!/96/02 427.50 I 433144 METKER pIC1E METKEA x -I x.'4 WINDSOR PA1CE AVENUE g24 WINDSOR PL AVM TX 76201 Moved; left no address, n~ r D TON T% 76901 DENTON 11/26/92 33.00 201 431171 MILE1SW BARBARA MM,1IL(tSW HICKORY APT Q~ARDARA 7/31/42 jglN oN HICKORY APT 23 TX 76701 Ph CIA YX 76901 No response to collection efforts, iS T N 6/13/02 11/26/82 62 R5 3 1J 7 201 388637 MggIOI~EL CHRISTIE MILLER INDSEY 0T 1009 SKYLARK YX 76201 Wresponse to collection efforts, DENTON TX 76901 DEN TON t y i ' . ,.r .,vr,YirilAbf /'..itiri'..lpd3 P,'dRr`(~.. I M I ~ . .r f r~ i ~ ~i'. ~ ~ ~ i'••~~DA7Hlf/30/97 7t 331 F L O W~~ Il E M O R t A L H 0 8 P 1 7 A L PAGE SB DAD DEBT TRAMfiFER REPORT FUA PERIOD 11/01182 THRU 11J30/A: ~ t"' ?AI4E +r•+► ++e*w OVARANTOR NhME xNr♦ DATE bAT~ DATE QF 9ALANCE ~ Pp~%ENTIJUMOERR asn*ADDRTt~N~V~ 87. 2IP ADDRr C17Y,87r 21P ADM]TTED D[9CHA OED Wk1 E0 'F OF ACCOUNT 201 431652 M1LtI,,8R DONALD M~L CR . DONALD b/03/82 11/26/R2 83.00 ~i 23 IJINDBtlR DRtV~ 1 2~ IJIND9tlR ~~N70N 7X 7b301 D NTtlW T% 76201 ND rosponse to CoT16Ct1on efforts, 20l 446692 MI``LLB8KR r CARY 1M1I11LLFR r GARY 4/14/82 11/26/82 40.79 ' ~GNTONDHNBON rT% 76301 ..D6NtONtlHN9tlN TX 76201 Unablo t0 locate, r 4.6~..:. ~1 ` f01 326397 M LLFR r kATHLC4IJ MtLLFk r JDHN 8/24/81 9/16/81 11/26/82 377 00 If 2~0 f~MJC~iO V18TA 21E0 RANCN~ VI6TA r L Wt VtL E 7% 750b7• LDpWOp[BdV1LL T% 790671 Arrangements not kept. 20l 419114 Pp~OXN139 207 Ct~RbNArDb7Z3A 76201 OHNTON13y 807CORONl+DOA7XgeA7620! No response tc Collection efforts~83 70.70 L1:. 4G YTU . 69 MILNE ,r JAMEB gMMp77I1LNE r JAMEB 7/10/82 11/26/82 691.93 201 .4240 KITtUw D0% 4 TX,,,, 76249 SCRUM-DD%, 9. TX 76249 NO rosponse t0 collodion offorts. ~ 201 419471 RMRTTIRAND80X 947Q ' JUAN qMq RAWttDA~OX 947C ' JUAN 6/19/88 SI/26/82 .00 r- CEL,,.~ , ; Dfi~l1TbN . ' ; a: TpX 762D1 D~inHTtlMN TX 76205 ^ r Ewt 102 319960_.. `~NtON~LLAQE EABIrA~~gTX2A7620i $~N~OIJ~ICAN HU7X 76701 Ar~angoments n tJ12gp~9a 11/26/82 33.00 bD H~ '1 Dt~NTONORV DRRTHA ,Myg17C6ry~ORY LUBERTHA q/00/BP l1/2b/82 111,79 ~'.4. 20! 444190 MttTCgp ELL LU TX 76801 gqAENY9ON 7)< ..76201 Unable to locato, • . , ~ ,204 $01899 RFeNi0N0T 319 THINrLti4tltE9xH 76201,,, bEN70IJQ7,219 TW1N LAN~9CE 9/27/82 11/26/82 167.95 ~ ~ r Dlt TT T% 76201 NO response t0 cOllectloD OffOrtS, ,1 1 870gH MOIIAIA DBVETRA MOHAtR r DEVETRA 9/17/82. 11/26/82 40.00 r1 RUDDELL 818 Sgrg3Y~BD~+ 3gOLL 81 TX . .76RO1 DBNTON ~ TX .76201 No rosponse to collection affurts. 20l A49262 GMpryp7O0nINJ3x 0 RdUDDE r HDNA gMOTN3k r NANCY q/f0/82 11/26/62 14.79 tt3;r~... , ~ABTaALtl083/12 I/12 l~a7ppµµX,.' 77777...1 EAO7V30033ex 1/2W ~Aq 7X Unab18 to locate, ~ 201 417324 pgtlRpGg fMY ~p1 O EE NY b/21 /B2 11/$6/62 T% s.. 7b201., ft lOb, 79 r tt"XFtr...,-.._:. ~ DHNiON.. _ U~NTDN..., ~ TX.. 76201 Uneblo t0 lOCate, 1~:. 202 38939 ppMM77ppRAL33H r DH80RAN ppMM1QRALgF r DEDORAH 9/OD/02 Il/26/R2 66.90 Ofif.:~....,._. RIi18CODOX 86 7% 79034,.: FRI6COD0% 86 7X ~ 75034. Na response to collection efforts, 1 l,,:d . ~1'7it. ;-~d- 1~' ~4;. f. iwr f DATE 11/30/82 7:33: FLOW IIE M 0 A 1 AL H 0 8 P I T A L PAGE 19 •'.`t'.ll_ PATIENT N/.ME*ryD DEBT TRANSFER u+LIWO*T GUFOR ARANETORONAMI/YMe /82 7HRU (DATE /92 460 PATIENT NUMBEN •a►rr DATE DAT7E OF DALANCCfi PFX NUMBER ADDR, CITY, ST, ZIP ADDR, CITY, ST,IP ADMITTED DISCHARGED WRITEtlFF OF ACCtlUNT 201 434290 MMqORGAWNHEEI.ER DRIVE SHERYL MMORGA14H6CLER DR ' SHERYL 8/09/82 11/26/02 90.39 4 ME COLONY TX 79067 TOHE COLONY TX 70067 Unable to locate, 201 411967 gMOO1RLWgqWTT' , JAMES MM`O`RLATT ER. I JAMES 6/04/82 11/26182 7a.79 OGNTONAD ROAD T% - 76201 DENTONDD ROAD TX 76201 No response t0 Collection efforts. 11 203 380919 80NOER0114 RAPT%NO 76266 BANG k 114 OPTX FA76i?66 N04response t0 collection efforts/92 117,00 L 8 1 102 217802 MORRI9S CAROLYN MORRISS , JACKIE 9/23/82 9/26/82 11/26/02 806.89 M4 GOLDEN TRAIL ThA LER PK 03 ,GOLDEN TRAIL TR PK ARGYLE TX 76226 AItOYLF TX 76226 Arrangements not kept, •,n w 201 416370 M URI 049941! 9HAVEOHI , MOE 6/38/62 11/26182 41.00 8 2g LOVISE APT 41 2922 LOUISE APT 41 D NtON . TX 76201 DENT014 TX 76201 No response to collection efforts. . tV 203 416848 Np4p4ARR19 KEITH NOgpqnRl6 , KEITH 7/09/82 11/26/87 216.90 DENTtlNHARLOTTG q/9 TX 76201 DENT0WHARLOT7E APT 19.TX. 76201 Movedl left no address, -g 1 399897 OCONNER JONI OCONNER 00141 FAYB 4/22/82 11/26/92 71.90 a 110 MARSHALL 11D MARSHALL DENTON TX 76201 AID TX. 76201 Unable to locate, t 101 417972 OLAHAI KEYED OLAMAI KEYED 6/23/82 6/29/92 11/26/82 761.40 165 AVE 0 #100 110 AVE 0 #100 ` 0 NTON T% 76201 bENT014 TX 76201. Unable to locate. tO3 239432 O1L1gUgO9g , SUSAN OLUO SAMUEL L 7130/82 9/04/82 11/26/82 3307.79 DHNTpNRUODELL 0109 7X 76203 DENTONRUDDELL M109 T% 76203 Movedl left no address, 202 408419 OonTEGpA LAURA ORT5uAA LAURA 8/12/0.2 11/26/82 202,90 LGWIBVWLLERY TX 79067 LOWIOVILLERY V TX 79067 14AYe4I left no,dddress. 't 209 96999 ggOWWtENSp TERRY JOHNSON VIOLET 8/10/82 11/26/02 99.79 ` GGNTONO% 26 TX 762:11 DENT2 BOX ON 26 TX 76201 Unable to locate. I 201 430173 PALMER t CHARLES PALMPN CHARLES 7/28/02 11/26/02 47,10 D NTON1lIVER81 Tf APT NlTX 76201 DENTONNIVERSI IY. 0116 TX 76201 Moved; loft no address. j 120 :cA 202 283309 PAAgLMER R WILLIAM PATTL1q10U JR 22 WILLIAM 9/16/02 11126/82 125.90 J • DEN70NLOERRY APT 203 T% 76201 RNA DALLAtlB .'TX 75065 UDAb1A t0 locate, V y I I 1{ , R~1 1 I r f , r „DATE 11/30/02 7: 34: P L 0 W 11 E M 0 R I A L Il 0 8 P I T A L PAGE 20 BAD DEBT TRANSFER REPORT Fan PERion 1110118C THRU 11/30/D2 PATIENT NUMD£R xrt»na PATIENT NAME 44** axx~x OUARANIaR ~1AME xxxx PATE DITE DATE pyF y^-DALANC9 7 PFX NUMOER ADUR, CITY, ST, ZIP YADDA, CITY,BT, ZIP ADMITTED O1.^OAAQED WRITEgf'F tlF ACCUDUNT - -------PARKV8 /92 r~\ (f 201 439638 ARAgEVDINE94A3 BRENDA 76091 ORAit`Fn?XM54A3 SRTXDA76051 unablesto locate. 11/26/02 43•09 i~ 1 .t 201 418990 PARKER DEBRA ;AJKKER JIMMY 6/29/8; ti/26/92 129.19 1122g 1/2 JONNOCN 1/2 JOHNSON' L.L. DBNTON TX 76201 EN ON YX 76201 Unable to locate. 202 410990 PPi~Af22R3K3ER DEBRA tP`JARKFR JIMMY 9/04/82 ll/26/R2 30.79 ow, OENTON JOHNSOII TX 76201.,.. tl23 A JOH14SN TX 76201 Unable to locate, f , 219 39378 PARKFRLlMEApOW pi' GARY PARKEHLLMEAODW Ml , GARY 7/10/82 !2!26/82 93.00 . ftg'g~ TX 76201 Unable to locate. ' 76201 2l6' 39378 PA137F~Li-MEADOW M1` GARY PARKER 03 GATX- 76ZO1 Unable locate, 11!26/02 100 39 v ~G N 76201 b66N N PARKYN OLADYS 8/09/02 1t/26/82 216,00 YA OLADYB ARg R ; 201 433120 'q KN TH ^0 LONY OLEIC „a TX-;15096..THY-CDLONY OLFN Yc 79096 Unable to locate. 101 307761 PARRIN , LISA J PqRR1N L19A J 7/06/82 7/12/82 11/26/02 509.94 200? LT WORTH CR X64 2tlO~ FT WORTH OR 064 C.! a~ DEN D TX•,,76201, DGN ON.. T% 76201 Moved; left no address, 1 201 422729 J711DODN07 JACKIF PtA`TTWyE~HHOON WANDA 7/06/82 11/26/02 141,00 A M 9SNTON . YX 769111 Moved; left no address, ~ I TX 16201 201 494496 PgBgNIX RONALD PpNIX RONALD 10!09!82 11/26/02 04.79 jjOjONCNAW BY 7% ,..76201..!. 23ODAONAW ST T% 76201 Unable to locate, C"EES SERGIO P ROIIF80AK X148 , SERGIO V 19/0R 7/20/02 11126/82 020.29 102 2130332 a OAK 0148 8 RII1: D N TX 76201 NTOta TX 76901 Moved-, left no address. 401 437244 PERY OBBBY PEgqRY , nanny 8/17/82 11/26/82 104.90 LACUNA 1221 LACUNA pp1 ~ 201 490171r3EtlgNOLE APT 6 76901 D tiON . T% 7640t Unable to locate, P,yCp DOUOLA9 PP6ETfiggRgggqOLE.APT 6 DOUGLAS 9!26/02 11/26/82 46.00 MAR Il/26/82 30.00 ( ~QOQ 270791 oG~TEO TX - 76201•` Cj ETON . - Tk 76401 Unable t0 locate. 1 ELLA f hqL7 NTENNNIEL _ T% ...7D067 A,. LEWIBVlLLfiNNIEL MARCELLA 9/14/82 N 9 1 ETV LLE TX 75067 Unable to locate, e, ~ 1 ' I t r s„ r r ' DATE 11 /30/R2 7: 34: - F L O W It R 'M 0 R I A L H 0 8 P I T A L PAQE 21. . ' l'f81JD LI DAD DEUT TRANSFER REPORT FOR PERIOD 11/01/82.THRU 11/30/82 T PATIENT NUMEER PATIENT NAME ~t*** QUARANTOR NAME **00 DATE DATE DATE OF BALANCE PFX NUMBER ADD R, CITY. 83', ZIP ADDR, CITY,ST, ZIP ADMITTED DIGOHAR09D WRITEOFF OF ACCOUNT _ _ /r BOS 7/26/82 11/26/82 38.00 201 429548 P1HqILL3IAUSTIN IIAYTHEW 1213 AUSTIN BI!NTgN TX 76201 DENTCN TX 76701 Rovedi left no address. 205 53462 ;HIDP UDDELL 0108' LEETxu 76201 DUDDBLL NIOB NCA198A76201 Move26/02 no address, 11/26/82 38100 11ENTOR Ao ~ M1 102 177501 RPICKSIEOT 152 7L1<NN CYNTHIA RTCyKyILE~OT 152 TWLMHE+ CYNTHIA 6/14/82 6/18/82 11/26/82 2262.75 v 4 DIllEN4qTON TX 76201 DENTOIJ *TX 76201 RovOdl left no address, /82 20l 422063 6 DNTONOHNSON ABATX 76201 ~9040AOHNSON ADTX 76201 Unablo5to locate.' 11/26/82 41.25 D8 V 201 431031 pPpIINNpgKKgS5BfNTBU2417HARL07T 2417 CHAROLTTt 03 , 7/30/82 11/26/82 84.30 YV D11% TX 76201 DENTON TX 76201 Unable t0 locate,. r 202 337600 PlqIIRUAOLDU , AMIR P1R8ACCLOU , AMIR 4/30/02 11/26/82 3S,00 DEMTONDW RD ST APT 10 TX 76201 D0pENMA 83 NTSU BTATIONTX 76203 Ilnal.lo t0 locate. iV 2 201 4363/t PC4DL I LUUIBE 8T p26 CHRISTINA D$SE4y LtlU1llE Nab CHRISTINA R/15/82 11/26/82 129.60 DENY ON TX 76201 DENTON' TX 76201 Unable to locate. µ t 201 428094 POUNDS ANDREW POUNDS p Cc ANDREW 7./22/82 11/26/82 178.60 fy, " COLOrIADO SPR1NCA CO 80916 COLORADO 8PRINOS CO 80916 Moved; left no address, 201 425941 P3Q3WEIRRL ARTHUR P33 WELp1..pp ARTHUR 7/17/82 11/26/82 159.25 v 4 , RO11JUREho STREEI TX 76262 HAORIED 67RE1•T TX 76262 Unable to locate. t 201 435123 RICr DEBORAH ICE DEBORAH 8/10/82 11/26/82 46.00 TTLK ELM TX 75068 LITTLE ELM. TX 75068 Unable to locate, gd 204 259184 P6RqICpE Y Ay PAMELA PRICEgg pp PAMELA 5/13/82 11/26/82 146.60 J i LEWIBVILLE APT 249, Tx 70067` 4EWtSVi LLH AT 249 Tx 7$067 MOvedl loft no address. V 1 LE LLI c 102 14"272 PIUCKENTI BILLY PUOupCK'j BILLY 6/09/02 6/14/82 11/26/82 266.00 ALL x 13 811,E DRIVE SOULS YARD075221 puALLAI7ILB,DR S22i Moved,, left no address. 3 3 D0 9/12/82 11/26 0ILE DRIVE SOULS R 604 FRAME..,,. BILLY 204 147272 B 13TALLAST B1L~A 75221 B N1OJ 1TX 76201 Iw EEE !!1 d /82 59.00 TX 7 w Hove i left no address. r , 1 , I ' ~ t I t 1• / i I DAT9 11 /30/62 7; 34'1•- F L b W- 11 E M 0 R 1 AL H 0 9 P. I. T A L PAO£ 22 - BAD DEUT TRANSFER REPORT FOR PERIOD 11/01/82 THRU 11/30/82 t PATIENT IJUMppEk ■wwtw EpAriffir N/•ME rwww +iwwM« GUARANTOR NAME +wwr g pT ppr c PFX 14UMBHR ADUR, f:tYY,ST, ZIP _ ADDR CITY, ST, ZIP ADMIT YEU bIBCFIA OED G01EEOPF DFaAACCO6NT 1 101 441782 EtlNTbNT WORTH DR ~cSATTXEFIt76201 DfiNTONT WORTH OR 065XATkLEE76Q0J Moved31/02 left no address~2 11/26/02 /48.24 G 1 201 412692 gOU~SNgNLOUISE APT S61J¢RRY gUISN9NLOUISE #101 JERRY 6/06/S2 11/26/02 38.00 r' DENTON TX 76201 ENTON TX 76201 Unable to locate, 201 30572P 'AAHIIMI , LfiILA RRQ4ApHttIMI AMIR 9/02/02 SS/26/02 38,00 DG4NTON BELL 703 TX 76201• DENT -'..ON BELL g203 TX 76201 Moved( left no address, 101 385120 fi 0 , KATHY REC 0R KATHY 3/11/02 3/14/82 ii/26/82 84.00 U10 Fpp{.~1` WROTH#6 007 FT WORTH#6 r K..,-• HNT0N TX 76Q01., BIN ON TX 76201 Moved; left no address, lm~ 201 426615 RREEtDt JIM REEDWW JIM 7/24/82 15/26/82 81.00 ' r'. tw AUDRHV TX. 76227 AUURBVMAIN TX 76227 Unable to locate, 202 380980 R140AADSS E[L REGINA RRHObAD~S REOINA 5/24/82 11/26/02 523.80 ON DEN TON AVE k3 7X.:76201 p6NT01JBLL AVE #3 TX 76201 Unable to locate. 202 401 $62 /gg DO~JQ. AO p0 08 LU11NDA 6/24/82 11/26/02 51 50 gNd~D /ggg81TY CITY PPT #Al pUuNNIVEgRBITY CITY APf#Al) uDGNNiON X 76201 ,,.DENT014 . fX , 76201' Unable to locate. R¢t 1 pp xx 33 pp tT•~ t pppgp 3 .u 11/26/02 406 50 202 349378 pY1D0&PORT14 IALTX:76026IDOhPORT14: W1 TX A 76OP6 Unable 5/19/92 ry luis,~.. Bffll : ; ~ to locate, 75 RID L JUAN ITA gRg ppppLR KENNY b/27/82 11/26/62 43.50 201 4142 UUN O T WORTH NO 26 Y TX.- ..1.:7621a , O NTCV WORTH LO, 26 TX 76201 Unable to locate, i, wy VOgGRAOUIBE Mq O OS S CAR RT JO , OSCAR 5/at/a2 00/26/02 58.00 201 401182 RJ u....,. TX _...76201:.. 0y LOV18fi NR / NTOhiNTON TX 76201 Unable to locate, 201 482771 bAbOC6H B AS 8T ANOEL bRb sgCHEppXAS ST ANGEL 10/03/82 11/26/02 114. t0 DGNTONK LIP AVE h`;_W:TX,:.,76t1017~.DgNTbN,...:. 7X_,.'76201 Movedl left no address, IPoa 20 gpll~{ l,L I P AV E EUO£N[I fiUOtNS RO$ 6R r 8/31/02 S S /27/02 00.55 • OA-',31407.::,. BAVAN,+~H. ' OA 31407. MOYedI left no address. N , 001 IS6tto.: ; 50062 0£B R BUGINC gSgLfi BUGENB 10/10/82 11 Qli 8006II EE LER ~rH~ a OV4 01hLIP.AV£ OA 3140 p~1 gp B~VARAE IP,.'. ;Y /27/82 $9.50 OA 31407 IioYedt left no address. fttat° A , ' . r r 0. DATE 11/30/82 7:34: F L D W fi a M O R I A L H 0 9 P 17 A L PAGE 23 3n BAD OEOI TRANSFER REPORT FOR PERIOD 11/01/82 THRU 11/30/02 y PATIENT IJUMfl£N krnrr PATIENT NAME +*»R rutis♦ OUhttpNltlR NAM w+rx• OAppE DATgg DATg OF BALANCE PFX NUMBER ADDR, CITY, ST, ZIP ADDR, CITY,BT, f1P ADMITTED DI$CHAROED WRITEOFF OF ACCOUNT 201 407470 ROQERgBg , LARRY RpRpENS , LARRY 9/23/82 11/27/82 40.00 ~ENTDNXAB TX 76.01 aENATOW£XAB TX 76201'RoYed; left no address, 1 201 439671 MONIAOUE TINA 11OLLINS TX 76000 MdN7A0Ut3 OLO%IA Unable to B locate, 11/27/62 97.45 1 ' 1 413963 RORK DRANDY RORNK PATRICK A/28/92 11/27/92 1099.25 ITJVrN kANES MHP 0149 T% 76201 TglT hAKCS 411P 0149 TX 76201 Undb1E't01@Cat@, 201 422733 RUDDER OAYL£ RggV"1ggNpp ggT , ROY JR 7/06!82 II/27 ..,•.1 LEWI8V1LL6T 044 . Tk 74249 LEWI LE 044 /02 1£2.39 pp VI TX 76it49 Unablcsa0 locate, 101 386900 Ry00Ue IJDLD RICHARD p700UApNgLD RICHARD 3/23/02 3/23/82 11/27/82 61.30 ~4w PT WOn H TX 76140 FT 1400001N OLD 76140 Moved; left no address, i.'.3 201 422354 RgUqNOBpAppBOVE 1NE2 SC44OAoTI gg , OEOROE 7/O9/S2 11/27/82 93.50 ` LGWIOVILLEADEB 7k 79067 I.ENISVILlCBADES '.Tk 79067 Unable t0 locate.. l 204 20672P S9BAHBAAg AFSANEH SA`HRA AFSANEH 7/19/02 11/117/92 fy NTUNCARRdL4 0240 TX 76201 ONTBNOARROL 0240 47.50 UB TX 76Q0t Unable to locate, V 102 89298 SALAS LOUISE SALA;, RAYMOND 0/051$2 8/07/02 11/27/02 840.80 ^7 1914 CARROLL tB 14 CAnml. D•NTDN TX 76201 DENTON TX 76301 URAble t0 locate, 101 199661 AN hR8 CYNTHIA MELVAN KIMDLE 6/27/82 w I 7/06/02' 11/27/02 4566.65 g0 DU18E AFT 101 2 0 LOUI6E APT 104 , ` D6N 0~ 9g gg 7k 76301 DEN TON TX 76261 Unable to locate, ! 202 326912 91A1`IO`E~jICKROY VILIA i1E8aT11q 071tDENHBCKORY,01 UEROME 7/09/62 11/27/82 16.00 I.. RA 0 tX 76201 oENfDN TX >76201 Unable to locate 0 420299 WiULTZ MM A OETTTV BCHIU(LI'Z pfiTTY 6/30/82 11/27/02 114.00 MMA UNtVER62TV 0.726TX 76201&ENTON UNIVERSITY N226 7X 7620. Unable to locate, "I 206 246608 3B3ggCaU1JJgqTI+N1E. DfiDRA 3a1UL1nTNNIE.. DEBRA 7/24/82 11/27/02 D48QB UE 4 NTON T% 76201 DEN TON TX 76201 Movodl left no address, 201 434419 6CARL6 r LINDA 91``1ARL.9 LINDA £1/09/82 11/27/82 60. 90 8k0fiNLM STREET TX 76266 8AN~FfiLM 6T TX 76256 Moved; left no address. 1 M ' i y 1, l7 , 1. DAT(S 11/30/83 7t34i P-L 0 W It E M 0 R I A L H 0 9 P 2 T A L PAGE 24 BAD DEDT TRANSFER REPORT FOR PERIOD 11/01/02 THRU 11/30/02 ppT%ENT HUMBERR ggMpADDR, 11V148Tr+2IP q gYAD8 CITYHB7AN IPMpk ADMITTED D18CAAROfO lvRITEOCF OFOAACCOUNT FF r 201 440768 89ARATOA DARLENE 8 RRATRC ,-RVOOLFO 0/88/02 11/27/02 91,10 648 vi 5 8 BU LCs1118URCLI! TX ?9067 L W[BVILLE TX 75064 Unable to 10cater tot 409862 99T 14 BARBARA SR;g ONMCCORMICK MITCHEL L 6/17/82 6/20/82 11/27/83 !064,70 , L:. DGR TX 76$01,. OENTON TX 76201 Movedi loft no address. h 101 416362 19NQOU000RMICK BHATX1 76201 16 ON 5MOOU000RMICK 11[TCHEL 6/36/02 6/90/02 11/27/83 213.69 TX 76201 Movedi left no address. 202 4291 I8 31k1533AETHOMAB APT 27 MARY SARTfHEHDMA9 0T APT g7RDDERT 8/06/82 11/27/82 89,43 1::.,.. OGNTON TX 76201. 1 8N70N T% 76201' !loved; left no address, 202 431825 SHELTOH r JAB SHELTON JAME8 8/12/02 11/27/09 143.79 1gD ORCHARD 0419 Ila5tNVOLLfiORCHARD TX 70067 Unable to locate. h r i n L1[Wl{~BVIpLLit 75067 201 424192 6ppSIfiLTOpoN , JERRY pBpHgLTOl(N JERRY 7/lf/02 11127/82 60.75 8A0&AX 2700 TX 76966 6ANOaN 2700 TX 76266 Unable t0 1000- N ► r C,'.'4w R SHOUEY DAN 6/62/82 !1/27/02 132,00 t 4f1504 01{011gU r ?)AN &W ON OR i11 UNtVER82TY OR - TX 76901 DBNTON TX 76201 Unable to locate, C+ tot 417868 DSEppSNI66gOgI Wpp NN PATRICK 6B~ IO,I~NIN PATRICK 6/22/88 6!23/02 11/27182 328.60 h IX A 70067 IioV 4/116/fL no address. 1,'w.. , ....r 6 8 L 8 i13kIJAaw r Tk»w( 76067JVu;L 288VN o6T ,.~.w L 101 196176 Si t V1 f. ,L, R LINDA S`LLqEggOOPF~' LIN 82 4/23/82 11127/02 4019.65 y IOHT ;QOµ NN 7k 76201 DgNTOIJ T% 76201 Ilovedi left no address, 101 447078 aaHgg r CALVIN. H CALVIN 9/20/82 9/22/02 11/27/02 599.30 TEMMONBN~NH T%; 77777 Unable to locate. ,INTH : 7%- TEMMONO 201 416081 sR STfH gg fxc . JOYCE gRMTIT14 6g xx . ,1nYCE 6/t7/02' 11/27/82 37.64 L GtBVtnLE11 RGUND OROT§ 75067',,RWIJ 911 ROUND OAOTX 75067 Movedi left no address. 1 TERRY 76201 Movod'loft no address, rft/27/02 65,30 201 405860 q0M TH AN X 1 7bQ0f ALY OT MBL::;..0Et5jTtlNALY 07 AN tSErJ C 904 321950 033MC TgYg MCKINNEY ALTA MM8ITply MCKINNGY ALTA 4/05/82 11/27/82 10,00 r [U"&i, bGNON .,T% ,.7620 Cr6N70N.- T% 76301 Ho4odi left no address. IN 1., . 1 V' r II r r Fiji t6l DATE 11/30/82 7:34: F L O W f1 E M 0 R 1 A L H 0 8 P I T A L PAGE '45 ~ Sr DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/02 THRV 11/30/82 MM PATIENT NUMBE>t ~wwwti PATIENT NAME w+tww w*1%* GUARANTOR NAME »+,ww DATE Dppl DATfiE ppF BALANCE PFX NUMBER ADDR, CITY, ST, ZIP `ADDS, CtTY,ST, 21P _ ADMITTED DISCHARGED WnITEOFF OF ACCOUNT _ _ r.'1 201 135867 gSpPICERRDDp DR JOHN SPICE" CtlW AN JOHN 0/13/82 11/97/02 77,50 v FLWOEODMWagUND TY 79J40 LEP33W18VILL£. TX 75067 Unable to locate, 201 434666 SPLA~WN , OEORO]A SPLA2NgN DELMAN 8/04/02, 11/27/82 36.00 AUDhaY TX '16227 AUUR£Y TX ' 76227 Unable to locate, 201 396630 STATOryN , JOSHUA STATON tJORMAN 4/l7/6d it/27/92 13.00 LEWIBV ILLE ORCHARD LI! TX 79065 LEWISVILLORCHARD LN TX 79065 TT N lioved; left no address, 201 444869 BTOPH 1 WORTH CR 429RANCEE' 2BOOIIEN WORTH DR MagFRANCEB 9/09/02 11/27/02 60.00 SMCI TX 76201 DENTOfJ7 TX 76201 Unable to locate, "S f 201 410944 STEVENS PAUL , 5/31/82 11/27/02 37.40 - 37E2 FNOLF QR , WA RE M1 48092 Unable to locate, I - 901 400393 g7TON6Eg0Uf CHARLE8~NCHAISTCPHF STOKES CIIARLEB M230 VICKIE 5/24/89 11/27/02 38.25 LGWIBVILLE TX 75065 LEWt8V1LlE 7X 75049 Moved; left no address, i F T g gg JAMS 7/11/82 11/27/02 76.00 203 136275 gSTTRIMQCKINOQIRQ JAMG9 ST04 RITilMAIyQ01Rp BsDGNTON T% 76201 99NNTOppN 77 pp T% 76201 Moved; left no address, d 6/2 103 196792 DGNTCNCKINOBIAQ ' JAtvTX 76205 DUA MgCK1NQI1fHp JATX8 .76403 Mov daleft no addre0582 11/47/84 1444.90 V D 1 pp Rq ff 9g Rg 201 439398 L5~1I8V tLLE 1 IUAA OEIITX 75067 LH UTuT~WI9V1QLE118AA OETX 75067 Moved/;241e/et no address. 11/27/02 140,45 !V 201 403113 gg [ATEK , GLENN SWIAThKµ , GLENN r 5/06/82 11/27/82 99.50 I - E gCFNICE DR 123 SCEN1C£ DR LWItlVILLE TX 79067 LEWISVILLE TX 79067 Unable to locate. 201 416222 gTgASSIWO CYER0I:R gTTAtIgIgo OYEnONK 6/17/02 11/27/02 93.70 bIIN ONHARLOTTE 0267 TX 76201 OENr01JHARLOTtf 0207 TX 76201 Moved; loft no address, :71 l 429114 TAYLO TAYLOR TROPECANl,11gTT% ORIE DLNT07 0/6/82 76201 31,TROPEC.ANAMtlTQTTpXOR1~6401 MOVed;lleft no address, II/47/82 343.94 V N :1 201 420992 qTArY~~,dRp ROBERT YLOR OLORIA 7/Ot/82 11/$7/82 74.10 HNTONOX 477 T% 76201 . DEN?ONO% 47,7._... 76201 Unable to locate, DG N r v .44 1 h ;5 xtrl+.r/,1d+53'/YS f p I 1 l 1 . r ' A.:. 1 I I" DATE 11/30/82 7135: F L 0 W 11 E M O R I A L H 0 8 P I-T A L PAGE 26 .s DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/82 THRU 11/30/02 POTIENT IJUMDER xr4xr pAT1ENT PAMI: 1444 x44x4 GUARANTOR NAME 44xx DATE DATE DqTg OF DAl~ANCE ' F04 X NUMDE AgbOR, CITY, 8T, ZIP AD CITY,ST, ZIP ADMITTED D18CHARGED WkITEbFF OF ACCOUNT _ - - - - _ -----'7-------__ _ - 0,14 7 201 424h97 6TEARY T WORTH CA Iga3W7X176201 jfi1RYF7 WORTH DR N23fiWAYNfi 7/12/82 11/27/82 177, 50 g pp gg gg a - D~iMTON DENTON TX YL201 NOvedl left'no address, 201 422006 TERRY 9t HICHAEr TEARY 97 MICHAEL 9/24/82 11/27/82 110.23 r G . LEA NY DALLAS TX 75065 LAKE DALLAS TX 75065 Unable to locate, 101 422006 TIE $ Y HIKE TTFE2 Yp MIRE 7/04/82 7/06/87 11/27/82 651.55 f` 1's LHeeN4O DR TX 76Q01,... DENTONN DR TX 76201 Unable to locate, r 104 57562 xs9MORgT 0pAK RANDAL( THOMAS pIIT bbAN JAMES , 3/24/02 3/27/82 11/:27/82 210.00 I- ~ . r CEWtBVILLH TX 75067 LENIBVILL6 TX 75067 Novedl left no address, 203 365353 3T3HDMA8 RICHARD HgOpMAS RICC~jHARD 5/15/82 11/77/82 178.00 - PLAN08UCK1NOHAM TX. 75074 EtJTOWT WORTH OR LOT 57X 76201 Novedl left no address, 'r 7 ~ 101 455253 CUUNCIxNHILL,„ a JAMOK. :744Qb COUNCI4NH[LL JAOKO 74426 11nab1e1toSlocate0/13/S2 11/27/82 922,00 203 66613 J1OgISP80N 1 r RONNIF 0 P8DN RONNIE 7/21/82 11/27/82 94.00 NTON - 982 DOX 988 ,,.76201w: DEN ON DEN ON OK 76801 ~--L . TX UPON, Moved; tell no address, r +^101 382242 DQNTONRKWAY I +76Q01: pIMPERIAL DONALO76801 Unable 3/22/92 202 405779 DOUGLAS UMP 3/23/02 11/27/02 144.37 lOCate RUMP JF GN 0 ORDHAM TX 7620! ~BNTOIJ PATRICIA 5/29/02 11/47/82 35.00 ~6td Di ORDHAM 7X 76201 Hovedl left no address, 46 l01 430017 gTgRRyYORp CONSTANC7bQ01 JGNTDIJT WORTH tlR LUTCONSTANCE 7/26/82 7/99/82 11/27/82 454.20 D6N1QONf WORTH CR'LOT 6 1 _ ?X 76201 Novedl left no address, ~201 r..-, 417995 Tfl6C~LONYT.r,..• NDLTX..iI,:75056 :~7HB9COLONSCH Yr NOTX 75056 Hovedl21oft2no addross, 11/27/92 65.60 L Y p a g01 432914 ^oApNBDOEpANqBURO , CECIL VoApgNgDDEAµURO' , CECIL 8/04/82 tl/27/82 38.00 E NTON .TX -76201 FENTtl14 TX 76201 Unable t0 locate, 201 432534 VoAogNgDE0N08URG JIMM1 VVgAAoNOENURO JIMMI 8/03/82 Sl/27/82 150.50 . 'L 6ENTONpHAL MAt Tk::76k03riSrjTOM TX 76901 Unable to locate, t r DATE 11/30/82 7:35; F L O W 11 R M tl R 1 A L H 0 S P I T A L PAGE 27 J DAD DEUT TRA148FVR REPORT FOR PERIOD !t/01/82 THRU 11/30/82 ~ ter PATIENT NUMDEH ra+ar PATIC14T Nr,ME ♦rrr rarar GUARANTOR NNAME arar bAtti pppTE DAT Upp 811 ANCCE PF% 14UMDER ADDR, CITY, ST, ZIP ADDR. CITY,ST, ZIP ADMITTED DISCHAR05D WRIIEgFF OF ~CCOUNT - ,a 202 323349 V8y1O14JEI DONNA VIOWELL , PAUL 7/05/02 11/27/02 40, I0 ; DGN10N WORTH DR M9 TX 75065 DRTON WORTH DT 09 TX 76201 Moved; left no address, V 201 422099 WADS VILLLAft EAS1 hPSTl1~ L7AOEg VILLAGE EAST 4, WESLEY 7/09182 11/27/02 103.29 W MNTON TX 76201 DENTgN TX 76201 Moved! left n0 address. 2111 434039 WALKER , TIFFANY WALKER , TIFFANY 8/00/82 11/27/02 38.00 8A5BA©ARMANDA t~139 TX 75231 675,LAOhRMANDA N139 TX 75231 Moved; left no address. 201 420994 W III Box ALtACE STEVEN WALLACE , STEVEN 6/30/82 1147/82 97.29 ' CARROLLTON9 IL 99999 CARROLLTON9 IL MOVed; left no address. 201 419903 WEqAVVEHH10HT STREET BRENDA WgEqAVEµµRNIOHT STHFET GLENN 6/29/82 11/27/82 125,50 „I 4 DG TON TX 76201 1) NTON TX 76201 Rovedi left no address, 203 207696 WO0CNTODER DAVID W6BTH LANE HA' DAVID 6/13/82 11/27/82 83,00 V DNUDRA LANE pp 7% 76201 D42F0ONOTONUbRA TX 76201 Unable t0 locate,. , , 101 422642 WWq41R pp CC DAVID wgwqEIR DAVID 7/11/82 7/14/82 11/27/82 S09,90 } O4 9 VILL6E T% 76240 OAlIJE9VIL45E Tx 76240 Movedl left no address, $V C 201 426399 DGNTON UNIVERSITY R0OM02A 1tlTEW UNIVERSITY 411220DY 7/tB/82 11127/82 77,75 - D TX 76201 AA ION TX 76201 Unable to locate. 1 201 433795 WQllbTC01lCRE90 SAMANTHA WWyH1TCrC. SAMANTHA 8/07/82 11/27/02 41,00 (4, DGNTQN TX 76201 DI. G6 TdNNORESB TX 76201 Unable to locate. I 206 299323 W2Wg111IIFI91D KIMDERLY HtggtTFIPLO KIMBERLY 7/24/82 11/27/82 82,90 DWON OUIOE APT 12 TX 76201 DB 4 rJTONaUISE APT 12 TX 76201 Unable to locate. 1 101 492125 AO DAVID WICKQQU~J DAVID 10/02/82 10/04/82 11/27/02 030.00 HOT 6~JRINGS AK 0 HOT BpFtINOO AK Unable to locate. 201 42016 6 lJD CKCR I CKER JERRY 6/29/02 11/27/92 38.00 ' j 1 W HICKORY Mltl~iJERRY 2 W ~ ~ T~ 2 GN ON T% 76201 DH1NTONW HICKORY M104 TX 76201 Movedi left no address, r I 202 194997 BWILRSMA , JILL W ER8g6LA I V i9 , JAMES 6/03/02 11/27/82 18.00 O NNDPIPER TX 76201 D NTONNbPIPER TX 76201 Moved; left no address. W idt'a,>~kraU,.., , . . , r . .-.t L.<P „a.. a.. xkooi16P1nrA'(.Ib.•M! i •r t jt i ;rr j ; 4 DATB 11/00/82 7:36, F L O W M E M 0 k I A L Ii 0 8 P I Y A L PAGE 90 BAD DEOT TRANSFER REPORT FOR PERIOD 11/01/32 THRV 11/3O/B2 PATIENT 14UMOCH PATIENT tV-J1 **490 BUAAANTOR NAME re** DATEg PpATTE AATgg OF DAI.ANCE PFX NUMBER ADL'R, CITY, 8T, ZIP ADR, CITY,ST, TIP ADMIT TEA DIBCItR0ED WRI7EOFF 00 ACCOUNT 201 439620 WILLxK DAVID WILLEK WAYNE 8/29/02 11/21/02 41.35 h CINCINNATISTREET OH 43350. C[NCINNAI(8T OH 43350 Unable to locate, \ 201 427955 WIL41AMS , CLAD 011 J32 N WINNETHA 924 N WINNETKA 21EW1N 7/22/82 21/97/82 38.00 RALIAgNS g TX 77777 ALLAB Tk 77777 Unable to locate, 201 428169 RIL3 DOX 415 ' LEISA MRCD33ANIELS 5 WREATHA 7/22/82 11/27/02 44.50 BOX 41 / CONWAY AK 72032 CONWAY AK 72032 Unable to locate. 201 432674 WILSOOqN , CHRISTOPH° LW{,bpILS9q014 CHRISTOPHE 0/04/a2 11177/82 58.00 / UGNTO,ITWSN LAKES TX 76201 UENTOIJTIJIN LAKES MHP 7X 76201 Unable to locate, W 1 Nbp 205 63461 000 KATHY 026T819 2I CHARLES 5/20/82 11/27/02 7764,15 / t•;. - DGNTONIT TX 76201 . T TX 76201 No response to collection efforts, pp R pp 1p~ RR 202 432947 pWA B q %LLAB GUY L TX 75065. EARK50D ADLAB OV TX 75065 Movedi08 oft2noaddress, 27 ' 11/27/82 58.00 gqAK A 6E WWD 101 449004 DBN ON LOUISE *2~ ROBlSRTA D NATHY 5 AOX,222 207X2776201 Unable to locate, 11/27/87 1109, 1J TX 76201 201 4325,75 IX uJQ ~j 4R2p7 11/27/82 38.00 NTONOX 902 CkAT%T1E76201. DBN;OJO% 205? VI TX AN 76201 MoVedl 0 left 2 no address, 201 409136 YA CANA MOTEL r J06HUA W A STEVE 5/26/82 11/27/8.2 38.00 C....a .A.:,..:,.TXwan.769D1a: N N TX.. . v RN~N 0 bOANA~MOTtI RV76201 Moved{ loft no address, YARBRO 1 13569 Y RBORONLt2LLAOE EAST #0037%YN 76901 16N00NILLAOE EAST N209 h TX M76901 Moved{11eftPno address, 11/27/82 40.00 Ge. 8 FIT AO T 04 203 13169 tY`ARF~ROUGH §tA HAYN YARBROUGH KATHRYN 7/01/02 11/117/87 38,00 r X202 292276 DpOSNHEADLBEELANBT'~OA TX ...76201 AMOT6EA M903TX. 76201 Moved{ left no address, I DAY 7/11/82 11/27/02 39.00 r DLNiON 7X 76901..._OTTLNTOfiN 203 292276 A0l8ELANEi T%:'. 76201 Unable to locate, OUN OAY DAY fl/I l/22 TUNO RiTCC DfiNi$ OONBOk 4 :.:.TX 2 BOX 4 12/97/82 18 76401'.'; 6N70N 00 h ^J TX:, 76201 Unablo to locate, c~ DATE 11/30/82 7:35 F L 0 W M E M 0 R 1 A L H 0 8 P i T A L PAOB 29 BAD DEBT YRANBFER REPORT FOR PERIOD 11/01188 THRV 11/20/02 _ _ y'. - PATIENT NUMOER kww#w PATIENT NAME +rww rrr+r 0uARAIJTORS NAMg wrrr DATE OATS DA g Foff F BALANCE. PFX f1UM ER ADORi CITYI 8T, ZIP --ADDk CIM T, ZIP ADMITTED DISCHAR09D WRITQOFF OF- ACCOUNT - - 2T1~ - tlAV 4/01/82 11/27/02 90.00 L' 204 272276 pYprU14Q BOX 4 0 CAY RYyflOUN2 .tea O6NYON TX 76201 UFNTONBOX 4 TX 76201 Unablo to locate. 20D 349902 21pU0`gOJOHNBON M3 ' BLAB- Z MIgOJOHNBON M3 BLAB OR 9/20102 11/27/82 2671 4D QGNTON T% 76201 DEN T014 -TX 76201 enable to 10Cato.~ - 1r T07AL BAD DEBT WRITS-OFF THIS p0RI0Dt 117973.76 V .7 v hw All f v f i ; r• G.:. DATE 11/26/82 152; 481 P L 0 W M If M 0 R I A L H 0 8 P 17 A L PAGE 2 1 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT pppg pAA 1ENT r+ppMEggqq ~ ' qp Y' Mtdoh,,;~Pk7MBNi1.♦ OUARANIOROAUDppNrp DREBBR--NPHONfi NUMBER' / pPppgMt~~ IT A~gE M DtcARE p INS N PAT[ NT ToTp gtL gD 1./E DI6CHAROS ATE MDtCA1D N DU CURREh7 BAL~NCE ~IpVALLEY VIEW 'TX 76272 Indigent care, q g 8 58.00 r k,': FABole 480965 1318 HpTT'ARRI9 JOE 332 9786 98 900 p : * f M Pt WORTH fi T% 76104 .00 72.OU pp0p Canton County Jail. ~ .OD Pt[AptN9 PAMELA 3 g F8A0INB PAMELA 6 B8 gg/0 /92 1 201 431767 89MIANW000 TX 72fp15064 9 9/01/82 1,900,00 44,00 4 0 r 6 MMggr P09 yy Indigent care, 4; ~4:R0 453268„L6WIBVILL60A7R79 ,i5TkE8 9g7506C 86062 19//11/11 900.00 9024.25 Q4 p lot 90Q4; 29 FREDERICK A~S~1UR ~y~ VACfippg80RRICK ARTHUR IIS11•BurtoBngcriterf~, f0. 2f 436 » TH3~0p E COLONI' UURR , T% 7tl0560~ Oalance of er Tex 2/12/B3 q: t0, Q1 ppuutI,, 'S I.;;;;, FV510HT, 24tN a ,6p6Mc1~AMBE88BRIOHT rANNIE g 97 / / 900.00 071.80 oQ n * M DENTON TX 728814049 b Affil k AN Hill-Burton triter a. 4, OR~O;HOUBfi y 119867 t MAT HBRTAIVE MICHAEL as 1/11/801 1.900.00 '5869, 05 762011 St 9qssag pp W1 get t care /82 4. 6869: ~b * 24 OUT O1M' VENUt C EHqEi IRBNfi 38 2092 „ 8~%g 8Q 463 88 8834M 100,00 1L00 Cl • OVTI RREP ENE IHN60A TX 762b1 M qp Balance after Medicareg and Medicaid, r H ppARPER r101 39101212N@ AMHEARBTEN OTXY` 760111719 97 1/ g~ 1. 160, 00 9109.30 gg4 TON 2. 29199b c gg xx 66 11 gg pp If111•Aurton trlterfa. 4: r 6ir: ..N 8 01USI "6AY,fig~ALLLA81[LAKIIVIEf1CTkRVL7p,7,5366 88.-.,,,; /~Jm 1:900.00 10.15 1264, Balance after Modica; 10, t . r Itrlw.." ' Cep qq tt t C ppMqq ~j N[tf4~ARD 421214 PADfiR80XH~~~lARb; TX' 7bg~4 160.00 41.00 0 " Balance after medicaid,; 12#Q' A , - ..r~r _ ---Mir- - - 'i OATS 11/26/92 12:26: F L0N 11E M0R 1 AL HDBP I7AL PADS 1 P[1ENTCH AITY CHARGE-OFf L[ST, DECEMBER, IDR2 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT p PI OAP E uupp NT pp p C PRRp9-r OMIT DATgEg M gg ppTTqA t O 1 w1N IRECT PAT, NO.w OVARANIOR ADOR&ES - PHONE NUMBER N/C RUHAROE DATE MEDICAID M INS N PADUE"T CUARSNT BALANCE ADAMS pppptl 5L ADAMS DANIEL el 2g1 q/e2 1 434 H ppT x 4D 4834 8 8/86/62 S0. Q3 ag SRI EP PDR7 TX . 78929L ' 4 70.2! {Z 1 w 77w Balance after texas Rehab. 3. BARO1 354670HEkE218000% DA7RA OTXRO7SOD9E g8 III/ft/181 2.900.00 140,00 • w , 145; o0 Hill-Burton criteria. BA50$ H297140pprr C( 9 8,51A OEORQZ 97 /t2/8 / 900 ' 4 ,V w 304670« fRICBD% ?7 TX 70034 8 1811111 100.00 43. $O 11111-Burton criteria, Qg 42' DS V 6AUL1 240487 DENTON UNMUdar1TY MT%Y 76QO1 pS 18S86S92 ¢ 900.00 28.00 pS d J w w H111-Burton criteria, 4. 25. DS t „ p p R ULER 9404q J7w AENTOM3Q96EVNNiVERBITYMY 76001E 9j ltl/ (,%82 21900,00 f03Q,70 Sp 1'1 11Gtt22 1f 11111-Burtone criterf'a, 4 `oD2 7C a BURirD09 48 t F B9ODYui.pW ~tNEg 1~NMO SLROOS ,FREODY NUNg 8g 88/QQ/ 2 900.00 1086.98 18r6:14 RgUUNgn TX 77777 13 86%tlD g7B03f4~pw DPC U pp gg S S 8 BDD JJ T B ,TOMAS J 89 1~/ES /82 4 ZQ V ? 463730* Lyg LEXINOTOD 1 1 / / l 900, 01 134, 75 A , YX . 77777 Denton County J 2' IDZ, 7J r'f ail i V COR DO B pnkO!lADD JDBE 736103, BB >4%92 2; ZOS 322B Z3 0VI51t 2717, as 900.00 36.00 V g 6~8~$oN Patient expired, loft no assets. 83' 88 V w DAN w DN IEL JAMB 0 NISJ 1AME8 76401 11 $ 0 9/ / 6/ 900.01 38.00 g 8p8 1 Q 1 4S 180 DIN ON COUfJIY AIL 0 R6/BD ff 4 w » Benton County Jail, CIO R R7 yy L ?,8,g"RON RODEAT 'L BBB / / 1.900,00 39.00 88. 88 SD 396DBESZ 0 NLUSI18fOF0 CA 93401 $ 4d r rrr Indigent cadre, ee ~ EI/081 39~60f0E 401SCHISHDdMETk PV ,JANICB 6176372246' 11 88 1y%8p 1.900.00 88.00 . B 8 2. 50,00 7 VV . , i . r• L:.ia:DAT6 11/26/02 13t fit. _ F L O W _M E M 0 R P. A L H 0 8 P I T A L PAGE 4 h ACCOUNTS RECEIVABLE xx ACCOUNT STATUS REPORT , pp LENT fi"Mj 0UU'ppRppMN'rr'ooR Py~At-ADMIT ppA$gg gD cARH N INS N PATIENT TOTq p ILEA N GUARANTOR ADDRE6S -NA- PHOMggNE NUMBER 5/0 9 9 HHAROE DA T£ ED LAID N DUCURREOT B~LANOti 0£NTOH T% 76201-. 3. 46.00 r * 4. MByggR MM H{{AUL W 19 hFY6R rDAVID 1.900.00 660.80 p p TOf 438 109 Q INBV LL S T% 767204508 ~.....$/0%~ 2. 660:00 " r II111-Burton crlte S, 4: t MILLgR gt 3 HILLER BILL' "3 Be /.16/ 2 1160291131 M 00 2050.05 1 I 47090 at0 AOLB T% 76801531211 1 ~Ot~ O 79601 00 Q00~.80 g- " t~ Balance after Medicare agnddp Nodlcaid, 4' MILSA 47090 `gg0 fiA046ILLER BILL 5173931271 815 / 90090138 M 1 190:00 6806.80 7782; 9 L UBNON TX :.'76801 ~77j~% %git 0 7/~f/82 3, 0 496 80 4 " gg gg gg Patient oxplredl no assets. 4. 1/18/82 116 0j90430 M ''1. 1'050: 00 26127. 50 3627: 00 r~ L1: M1110R 47090 QVJAOLRILLFR HT%L" 7b1Q1931271 as " AN MDNDP8124.60 pA MDROAN ~y7 Patient oxpgfred; loft6no aassets, 44. Y. IIOt 337924 i11T%L1A76S3A750 84 6/~5/S1 PSNDINO SS, 00 0:00 t7 8atance after Medicaid. 900,01 40.75 PA00 170 45OB DENTtlN'$HERIr' an 10%06/82 2. DEN70N T% 40.90 !1 s. 76201 Denton County 'Jail, T,'$~; .~1.. M»i r 0. ,e T% . 39.75 pp y PARR? r116L PC ox gI4A9 FEL S9 11%tl3%0II ` M 1 462036« ALLBN 12 . .77777 39: ;5 gp gq77rryf~ gg Daeton County Jail, QQ44 QQ '1 PATTERSON 155323« ppbb1oMo HHUMMPAMADDNK3 j EDITH M3g7 4 987 8%t34%Sit 900.00 49. 50, qp ~y r. 202 DENTON TX 76201 704 k 9$. $0 h " 0 PP q Hill-Burtong criteria. 4. Rs11&a.PEI EDDIE F g LA Tfs 77 `Q OQER ..:...,,1SgGS9~ 1.11 0 dUA1L•R0N ROAD 4 31!26. 86 D% 900.01 139.34 IB29: / DEN ON T% 76101 r 3 p gg Balance after Texas Rehab. 4 6 .»PH101 040QA9Y 841AARKOhIEICUV6 LT%RY7S5114373927 S6 800.01 36.64 956:b2 Balance after MHI1R contract.' '1 i DATE 11/26/62 13;00; P LOW M E M O R 1 A L H O S P I T A L PAGE 3 ?±I 4 LENT ~,A EACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ...~."J pp pp NEAR.* MMgg C qpp TgE Mgpp qqgg ~l Wk T r(N I ~I ~CTrPOUARAtli kbDRE88R--NPNONE NUMOER vs DSB~HAROE 1ATB MGDICAID N INS N PAaUONT CUf1RENT B~LANCE i HO10I 44901 TA KOaME LLOYOA" A7XTA 762,{9644A g6 Sq% %6 800.00 S266,00 v~1 I TTr JIM-BurtonrcrftorIIa lilt: h y1 HM 102 449017 KHaME LLODUOAN ATXTA 7bf14941 Illl'Burton critdrM/u I. 900, 00 016.60 OfO 00 °;j I~ EI ~gg 7 g 130 r ^Q 1. "63 31M9323» E1 ORNT TX 90A~AOLWAPT OS I / CO-CHYU~188334{111-Burto BCrite HIM 900.00 71,00 b II HH1~~ 1 r qq g 7 L HOV04 316a29MEf30ST0aADLEYUAaT 91 CO%CMY70B8T334 9z q%11Qi 900,00 62.60 81:1$ r r GEII pp 44G Hill.-Burtoncriteria, g 34. 2 t HUBBiRD 46~A30S gg MMCCKRINNGI'ENTON COUNT, 09 11MAI 900.00 19,7$ 6EN7ON 9 TX 76201 7 0 19. p i V rpµ gg r n NN oo Denton County Jail, I JACKIION 3309b7HAL3tlaTRNRUO~EPLON7S, CYNTHIA 68 NMI 800.00 37,70 3a7,~E it0 0B U l ,J r * Balance after Medicaid. gQ f LA10? 430081D DLMTONT W511A DR N16 IOrkNDA76201 8a % Q%Q$ 227646306 190,00 23.00 ° :~5 y4 ' r qp r ~e Balance after Medicaid, ei { r 1.810/ 424620Y `IM MULIFRRY , UPARYr 3g 3984 6~ / / P00101 24, b7 ` p 1 rBNTDN TX 76i2a1 7;1-1;1 4>~. i`: yy H Mpp Balance after I01MR 900.00 36,00 ill, rgT g gg RTEp 6p g ; 4B103R 771 ~Alt6NbACLB JT%RY '70D66NONE 8Q Z%%i 73B 0S t V' NN g p t" g Indigent care, j gg gg 4• 66 14 _°...LM40lWAY 40tl9tl76 OKLANOMAAO+f"K'y LOllS6 7311921 Ind gent eRe W1%8a 900.00 63.20 60. l ' LOff•~~ ppNppggR10 T ANDERSON 8g W1331 900,01 46.00 1 V 20l 4691tf1 OENTON CobpT~lY JAIL 9 46.00 y: Denton County Jail, i , 1 y i DATE 11/26/82 Wis!O: P L 0 W M 6 M O .R I A L H 0 8 P 2 T A L PAGE 6 qq rrXXUU AR. ppRRppNNTT ACCOUNTS RECEIVADLppS ACCOUNT STATUS RCPnRt "IN 0RECT T PAY .P " OVARANIOROA9900-~NAIIQNE NUMBER HB R%C H~ CROE DATH MCD1C61A it DUSNT CURpoR~NT B~L~NCE 04 n M 9AANOENR TX 76266 $ 18/23/882 3, g26.00 n t• • Q; a 900, O1 38. co r G .,.7S~DS 454bVe B1018N COW BJAIL +,fIO LSB 76Q01 Balance of 4 e Red 4 % %S 08:50 ' Denton County Jail r C ~VM101 44376 ~8I ~f~Oe B 4~9T1,'E8T L8X 762 9 after MIIMR % 0% ; 900, 01 44. s2 74~, gg t p CINDY 8 b/ / q b2 0 6/ q/ 50,00 110.00 , 3 102 381008 NaT tt ROX 118 47q 2404 as 1 r 1«...u C " PONCE.;. Wqg 4 8:. TX 76259 6/ / 50.08 B LLggppNN gg xx Daiapce after Modica 2 pp7q gp `br3 pp r. k WEB3 f36699A»'.JUBTQN 177tiH8,.'. CTT%B7ER 94 8%10%B 900.00' 1673.20 t670:itD 1 " q cp I" "111-Burton criteria, g. I Wlj_' AIJ2L ....:,..40Jti~5° .,.gEa Bq ooh Ti AIL;..'CRAIO .....:,E 99 j8gti88 900.01 09.00 " Tx 76203 9 CW~~ 26 G , p Q 9 OD I^ Denton County Jail, 88 - ~ WI NSTT' 3846 JU87SNOx OA~LFlT PAUL TK 74 29t92 99 8818/88 900.00 1411,00 I; ,`u 11111•Durton crlterlar m: 88 ,y WRttpp T jNIA ``66 bWb Wu A`` H??B AWN gg33 9 / 160,00 559.30 pp i00 39j56 DEN70N OAN B~Nd, , TX 76 q{r 2Q1439'd 61 q: 36 r X1111-Uurton criteria, 1 SHRUM, DOAOTHY~ SNRUM DOROTHY 97 A 27102 P. 0. Box 31 10116182 tdOi.S. s'd Krum, Texas 'JG20.9 72,A09,27 7 AN DATE 11/26/e2 13: l a: F L O W N E M g R I A L pAOE H O S P I T A L - „^1 ppppppp gggqq UUppppppM ACCOUNTS RECEIVABLE CACCOUNr STATUS TfiREPORT 4 •1NDII~CTT P/~i~pnNp,r OUARAUiDRO4DtJR~t39R -N~pBNE NUMBER R%8 D~~~4AROE DATE M9D~C M pprrAA ggtt LLgg~~ x a pp cc AID k ARE INS N PAUUBNT CURAHIJT 9A~ANOfi L Mq T 6E 1. , pH001S 4578%1 Syl1pp 332N aV~aL86 MONTY Sfl Jg%~8%SO 3a, i » r ORAMO PSRKti ND Denton County ,tall, 400, d0 112.48 `slt 40 g Q qq ppp `o p p t t i1 4 4819021 BOR COM"'JAIL ARh 490 7219 Sg S (8%88%8 900.01 38.00 gg TX 761 Denton Countty Jail, ; 09:50 ry RA2009 8 ~ILAFF 314110 K CENT4t1 COUNT, Sq8 4%oy%eH LEWISVILLE 9 09 e3 900,01 139.50 `g r r Denton County Jail, gp 111 08 988 081894M D~NT8NAWPC~i0U~0% 1694rDOROTHY3 7 0691 4s 7%88%88 9tlJ 9a E374 190,00 38.00 4 ppgg RR ON pp r TX 76001 indlgont care, 00 88 ? Rb1pT84lJ 361204A Q7Kg WARtIRBENTOON DEBRA q ` r r ~AHDNEA KS bb030Sa7Ji9 S6 B%~4% 900.01 91, 44 1271; ~a I J Balance after ftBHRg , 0 9 4 Hr 3D~AO1r tJ6W18V1LL6~0P8 TONY hl" po yy wuppLL tlON 1.900.00 39. i1 ✓ 7 b7 B / / 609;11 J 1 gg y& p g Balance after 1111MR, AD102 40b41IC T gOX 4Q3g VERNIE Sg 4 p if r r OBN4 TON gg TX 7b&O1 APPLYING FOR 190.00 1719.70 S y .,a OHIOLETT 27fbe0 g1 7ULANR Indlyeni terra.; S X41 11 ON HIFLhTT Et VIN t83.00 pg / 200.00 q 7~re 72191'2"' Hill-Burton crlter j, / 31 0: b0 C,.1 J ST RA V NATHAN R6TXTTY J N r10IMAN BE 44b1>i0rY J T Ox Ol6 g S t bN ~J849e2 6 gg 900.01 396.96 ggy67r ~rpp J EN TX TN pNE ggpgpE g 4 A T1 , a Balance after Texas Rehab, gain 1 iL t ,403 2e74i2!!» ~J%AUDD H IL 0113 e~~RE 76001 all 7%9tl%~~ ' 6~itV19Q.Z77 A ~tl$ g6 97 00 "Rag p t~ I f~l} 4: Y f" THOR~E iI87~29E CARE INN OF08Atf0ER SABRE NONE Balance af~ r liedi IvG/9/SO tf8f1l929Jt2+A i1: ~ES: BS 26.00 ~ 3919,90 J; 1. - t r a{ + OAT$ 11/26/02 '13:22, P L 0 N 11 E M O R I A L H 0 ti P I T A L PAGE, 7 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT SUMMARY L PATIYN7 CLASS COUNT PAqTUENT INSURANCE TOTAL DUE OUTPATIENT 1173,12 D 00 /73.98 INPATIENT 30 53115 76 .00 53115,76 V EMENO$NOY 23 1482.7b .00 1402.75 TOTAL ACCOUNTS RECEIVARLF 60 04772.43 ,00 E 127,101,70 ru+,.• TOTAL NUMBER OF ACCOUNTS IN ERROR ~~+r 'M4 ' .J , r + ✓ 1 i BOARD Of DIRE-01U RS MET"n1NG ` i r.... il, BUSINESS MINUTES Day. October 21, 1982 Page 1 The Board of Directors of Flow hh~norial Hospital met in Legular session at 7;00 P.M. on 'Chursday, October 21, 1982 with the chairman, Mr. Wyatt, presiding, ors presents Also ,resent; MemFbors^absant I Mr. Ralph Havenhill Mrs, Wilma Fritz Dr. Don Molt Mrs. Gloria Madowell Mr. George Hilz Mr. Brad M>7re Dr. Roger Nunn Mr. Dan Trammell Mr. Leonard Watson Mrs. Mary Williams Mr, A. E. Wyatt < < 1982 The minutes of the previous meeting were presented and approved. New BLwinessI . Election of Offioors--The Administrator conducted an election of officers for the Boarri of D rectors. The following were duly elected to another one-year terror A, E. Wyatt, Chairman) Mary Williams, Vice ChaiLman) and Dan Trammell, Secretary, Mr. Hilz was re-appointed Chairman of the Finance Commmittee, Financial..~Rs)rt--Mrs. Fritz presented the year-end financial report and outlined the revenue and expenses for the past year. She noted that the average daily census had decreased from 95 in 1981 to 93 in 1982) however, the operational profit had increased from $36,083 to $258,989. She explained that rash collections had decreased by 1.28 and had caused an increase in accounts payable increase of $394,000. She proposed that the reserve for bad debts be increased from 156 to 176 and monitored ( closely by the Board, This increase was approved by the Board. She reviewed the general fund balance as listed on the Balance Sheet and reduced significantly during the past two years from debits inored how s this the beginni of the hospital. The Bad Debt Charge-Off List in the amount of $121,715 and the Charity Charge-off List in the amount of $44,371 were reviewed, Mr. Moore moved that the Financial Report be accepted including the charge-off lists) this motion was seconded and passed by voice vote. uters--Mrs. Fritz reported that the new McAuto arrives ern dle of December with impl.smantation plaweddforiJanuequipment e should that meetings hospitalwide are being held with various departments to plan for the rality_Accountability--The minutes from the October 7 meeting of the Quality Accou„~ar~i1yty ~ t were reviewed b Mr. Watson, lie reviewed the vrtrious de menttstudies being done and the activities of the committee. He added that the now t., HAS/Monitrend data analysis will be used by the committee to determine efficiency. Mrs. Williams moved that the Quality Accountability Report be accepted) this motion wa seconded and passed by voice vote, Utilization Review Committee--The Administrator reviewed the minutes from the Sep e o nation Review Committee. He reviewed the statistics presented by the committee. Ito noted that the committee had received a report of 81 delinquent Medical records--an improvement from the last report. He added that the problem of a high number of delinquent records should be resolved in 30 days. Mrs. Williams moved that the Utilization Review Report be accepted) this motion was seconded and passed by voice vote, M`dical Staff pmln ~t--Dr. Nunn reviewed the minltt.es of the October 18 meeting of the -xecu ve Wt`ml'itte'e. lie noted that the =18 -cif pediatric patients will now bo read by oertait, Pediatricians instead of the usual internists who interpret WWS , i BOARD Or DSRECEORS MEEIrNG BUSINESS MINUTES Dale October 21, 1982 Page 2 .I In accordance with the Rules and Regulations of the Medical Staff, the Lxecutive Carmittee had recommended a thirty-day suspension from the staff each for Dr. L. R. By t and Dr. W. M. McCormick. Both physicians had already had during the year three sus- pensions of admitting privileges because of delinquent medical records. Mr. Haverhill iroved that the Medical Staff Report be accepted, including the suspension of the two physicianst this motion was seconded and passed by voice vote. Rea intments--Recannwdations were received from the Executive cairdttee for reappo ntments to Active and courtesy medical Staffs, Dental Staff, and Allied Health Professional Staff, Action on the recommendations is scheduled for the November Board Meeting. ,corn of al--Ur. Nunn reviewed the report from the Ad I{oc Committee which had heard from Sidney B. Roth, DPM concerning the Executive Committee's recommendation to not grant him surgical privileges. Dr. Nunn stated that Ad Hoc Committee had recommended that the surgical privileges not be granted, and subsequent to this, the the Bylaws, Executive Committee had also re-affirmed their original positionUnder th must be received Dr. Poth may request an appellate review by the Boardt this request prior to November 3 or the right for appellate review is automatically waived and a final decision case be reached by the Board at its next meeting, JCAH Survey--The Administrator announced the results of the recent survey by the Joint Cattssion on Accreditation of Hospitals. The hospital had been awarded a three- year accreditation with forms contingencies, tie explained that the contingencies are being corrected. ( Dro ins--At the request of the obstetricians and pediatricians, Mr, Watson state he h mra w th the cammissioner's court regarding the increasing nmtar of drop-in and health Clinic patients. He had explained that a solution would need to be con- sidered in the future# and he will return to Commissioner's Court later with possible resolutions. Professional office. Build -ME Corporation's preliminary findings were report to the Board regas~d g responses to their questionnaire. One physician had indicated he might wish to lease some 18,000 square feet--more than half of the proposed building - so IMF is now in the process of investigating the need for a building of more than the originally-planned 30,000 square feet, Further reports should be forthcoming at the next Board Meeting, Awards Metin s--Tthe directors were invited to the Dallas-Fort Worth Hospital CouncIl'7FI `~"Cc a Awards Luncheon on Noventor 16 and asked to confirm with Gloria Made-swell whether or, not they could attend. The directors and their spouses were also invited to attend the FAVloyee Awards Dinner on October 26 and/or the Volunteers Awards Dinner on October 28, Confirmations to be handled in the same manner. Nuclear Madicin© Muter--The A&inistrator announced that Nu-Mad had offered the use e a compaiion conpu r for the nuclear medicine equipment at no charge to the hospital. He explained that Nu-Med needed a place to store the equipment and is willing for the hospital to utilize the equipment while it is being stared, fts was approved by the Board, Personnel Matters--Mr. Watson related that he had placed one of the department Aires re on ab`y probationary period because of poor performance, He added that this eMloyee had also recently created an incident in the hallway which had disturbed both patients and visitors and had been reported to the President of the Medical Staff There was no further business, and the meeting was adjourned at 9130 p,m, Dan Trammell, secretary NOW,MBER 1982 CHARITY CIIARGE Orr Pntlont Name Guarantor Name and Address Admit Date Balance Explanation Dismiss Date Betancur, Jaime Jaime Botancur 10-6-82 $2688,45 hill Burton 910 Engla Dr. #215 10-11-82 Denton, Tx 76201 Brown, Rex y Rex Brown 4-8-82 $3191,50 Tndigant Care I Rt 1 Box 362 E 4-19-82 Denton, Tx 76201 llinaworth, Darla Donald Cullinsworth 7-30-80 $1142,70 Hill Burton 1156 rebblobrook 8-4-80 Lewisville, Tx 75067 Collinsworth, Donald Donald Collinsworth 4-6-82 $4979.05 Bill Barton 1156 rebblebrook 4-6-82 Lewisville, Tx 75067 Collinsworth, Jeremy Donald Collinsworth 10-12-82 $982.00 Hill Burton 1156 rabblobrook 10-13-82 Lewisville, Tx 75067 Cook, Paul Paul Cook 10-8-82 $115.50 Indigent Care 1910 Scripture 10-8-82 Denton, Tx 76201 gvia, Lamolda Lamoldn Davis 9-7-82 $14.50 Balance after mA 114 Ave L+ 9-7-82 Denton, Tx 76201 Davis, Monto Monto Davis 5-16-82 $83.83 Texas Rehab. Star Rt. 5-10-82 Oninesvillo, Tx 76240 Fuller, Roger Linda rullor 5-21-82 $58.60 Indigent Caro 500 Parkway 5-20-82 Denton, Tx 76201 Garzn, Maria Johnny Garza 4-19-82 $21027,20 11111 Burton P.O, Box 265 4-24-82 Donotn, Tx 76201 r i Pope Pationt Name Guarantor Vamc: and Address Admit Date Bnlnnce Cxplnnation Dismiss Date Golkn Joyce Harry Golka 9-1-82 $403,50 Hill Burton Box 98 Kinewood IMP 8-31-82 Lake Dnllas, Tx 75065 Colka, Joyce Harry Calka 9-2-82 $91.50 Hill Burton Box 98 KinBewood MIII> 2-21-82 Lake Dallas, Tr, 75065 1 dawkine, Billy Clara Tucker 4-22-82 $22.00 Balance after MA 1820 Ruddell #115 4-22-82 Donton, Tx 76201 I Hilliard, Danny Danny Milliard 4-23-80 $89,00 Hill Burton Box 33 4-21-80 Denton, Tx 76201 Hilliard, Vickie Danny Hillinrd 2-4-81 $3098,45 Hill B+srton 1713 Flhito Oak 2-10-AI Denton., Tx 75201 Hyde, James James Hyde 9-30-82 $38.00 Denton County Jail Denton County Jnil 9-30-82 Donton, Tx 76201 .,arse, Marisa Susan Tndd 9-7-82 $747.50 Hill Burton 305 Loop 280 #N10 9-11-82 Denton, Tx 76201 Moroe, Marian Susan Todd 10-11-82 $1400.15 Hill Burton 305 Loop 288 #N1n 10-15-82 Denton, Tx 76201 Morse, Marian Susan Todd 6-1-lit $243.75 Hill Burton 305 Loop 288 #N 10 6-1-82 Denton, Tx 76101 Morso, Merton Sum Todd 9-8-12 $300,73 Hill Burton 305 Loop 188 #N 10 9-6-82 Donton, Tx 76201 Pa(e 3 Patient Hama Cunrantor Name and Address Admit Da to Balance Explanation Dismiss Date Pnllitto, Vito Sheri Denton $57,75 Denton County Jail Denton County Jail 10-7-82 Denton, Tx 76201 Robarnou, Freddie " Freddie Roberson 9-28-82 $72.00 Denton County Jail Denton County Jail 9-28.82 Denton, Tx 76201 O "too, Jami.a Denton County 10-2-82 $38,00 Denton County Jail 1:, McKinney St. 10-2-82 Denton, Tx 76201 Shay Noll Nell Shay 11-6-81 $900.50 Hill Burton P.O. Box 293 11-7-81 Pilot Point, Tx 76258 Townsend, Dorothy Dorothy Twousend 4-13-02 $8095.10 Deceacod, left no assets 1002 Edmonds #51 5-10-02 Lewisville, Tx 73067 Vandergriff, Mary Martha Manry 8-25-82 $24100 Dnlance after MA and MC 716 Roae St. 8-31-02 Denton, Tx 76201 Vandorvuar, netli Beth Vundervoer 7-4-82 $155.00 Indigent Caro 1701 Greenwood 704-82 Denton, Tx 76201 Walker, rmma Emma Walker 4-9-82 $19.50 Balance after MA Rt 4 Box 413 4-17-82 Denton, Tx 76201 Wetzel, Craig Craig Witzel 10-12-82 $31.00 Denton County Jail Denton County Jail 10-12-82 Denton, Tx 76201 Wheeler, Warron Warrah Whaelar 10-12-82 $92.50 Denton County Jail Dunton County Jail 10-12-82 Dunton, Tx 76201 a Pape 4 Patient Name Guarantor Name and Address Admit Date Balance Diamisg Date GxPlanation Whrelur, Warren Warren flheclor 10-15-82 $08,00 Denton County Jail 10-15-82 Denton County Jail Donton, Tx 76201 Wright, Ann Ann Wright 4-20-82 $949.55 Hill Burton 2211 Id, Hickory #30 4-22-82 Denton, Tx 76021 .?ight,Ann Ann Wright 3-9-82 $r 014 Gregg 41.83 Hill Burton 3-9-02 Denton, Tx 76201 Wright, Ann Ann Wright 6-16-82 $02.75 hill Burton 2211 IJ. Hickory h30 6-16-82 Denton, Tx 76201 Wright,Joahua Ann Wright 5-14-82 $747.00 Hill Burton 1616 IJ, Oak St. PQB 5-17-82 Denton, Tx 76201 "()TAL ACCOUNTS R1BIVABLFI $51473.43 'Ir 1 Page .l FLOW MEMORIAL HOSPITAL BALANCE SKEET OCV0BCR 311 1982 1982 1981 1982,110 2 1582 Current Assetst 1981 Current Liabilities: Cash--Operating $ 9,516 $ 211,564 Current Notes Payable $ 218 616 $ 136,495 Interest & Sinking 12,754 31517 Accounts Payable 90 , 02 541,881 Reserve Fund 39,797 7,988 Accrued Payroll 426,03 378f747 Repair Fund 19,787 6,386 Payroll Taxes 65,438 69,932 Group Health Ins,, (740) 1,05., Fees Payable 249,508 95,626 Investments/Board Designa'-- 307,683 231,398 Pnnd Interest Payable 16,039 14,289 ted Bonds Payable 10,000 65,000 Due Medicare 121,427 - 193,365 Total Cash & Investments $ 388,797 $ 461,905 Total Current Liabilities $ 2,014,598 $ 114951335 Accounts Receivable $ 31543,006 $ 21504,505 Other Liabilities: Lesst Allowances 296 729) 337 425) Deferred Income $ 309,342 $ 319,966 Net Patient Receivables , , 7 , Long Term Notes Payable 3940580 270,952 Other Receivables 971,527 356,640 Bonds Payable '-920,000 430,000 Inventories 319,214 258,440 Total Liabilities $ 31138,520 $ 2,5160253 Prepaid Expenses 60,318 48,344 'total Current Assets $ 4,494,134 $ 3,292,409 Capital: City of Denton $ 393,165 $ 393,165 Pr~ y, Plant & Equipments County of Denton 1,696,871 1,696,871 $ 37,547 $ 37,547 Endowment Flow Estate 240,461 240,461 wilding & improvements 4,9020159 41761,303 Fed. Grants, Hill-Burton 11868,910 11868,910 urnitura & Equipment 218541983 24415,109 Federal Grants 256,371 256,371 Pledges and Gifts 506,208 375,800 $ 7,794,689 $ 7,2131959 Gen, Fund Bal., Beg, of Yr. (31,266) (686,770) Accumulated Depreciation 9 251 104) 3 868 020) Cent Year (31,521) (22,713) Net Property, Plant & Total Capital 4 899 199 4 l22 095 Equipment 315431585, S 3345,_939 TOTAL OPERATING FUND $ 881,037-,719 $ 6,638,348 TOTAL OPERATING PLOD $ 8,037,719 $ 6,638,348 Current Patio 2,23 a .',Y;{.,r •f, 414 nr/ Page 2 PLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT OCTODER 319 1982 CURRENT MONTH PRIOR '11. Actual Budget Year-to-uate Adult Patient Days 21870 2,945 2,694 Average Per Day 9216 9510 86.9 I Newborn Patient Days 418 434 422 Average Per Day 13.5 14.0 13,5 Gross Patient Revenue/Pt. Day $ 413.42 $ 418,8" $ 353.39 Total Expense/Patient Day $ 359,88 $ 343.74 $ 325,17 Month Charity Dad Debt Recov. a October $ 61,473 $ 96,053 $ 51636 % of Revenues 4.3% 8.1% 0.6% w I ' I Page 3 PLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS/OCTOBER, 1982 % of Salaries supplies Total Direct Operating Revenue Revenue & Benefits & Other Eses Profit Loss Daily Hospital Care ~11%~ 0 + Psychiatric Care 7 86,516 365, ~685 370237 496279 OD/Post Partum 5 540415 20,025 11440 210465 32,950 ICU 2 23,950 20,596 21186 22,782 1,168 Nursery 3 31,180 16,880 8,239 25,119 65061 3 29,675 16,590 10201 179791 11,884 Neonatal Coronary Ca Nursreery Unit 2 270325 28,260 21176 30,436 (3,111) Labor & Delivery/birthing Center 4 41,961 27,033 84382 35,415 60546 0 erating & Recovery 4 43,151 22,681 15,999 38,680 4,471 `pprgency Room 3 36,933 19,176 26,120 46,296 (0,363) Central Supply 7 829672 81775 32,988 41,763 40,909 Laboratory/Blood Bank 11 131,459 55,565 559565 75,894 Radiology/Nuclear Medicine 6 71,905 16,566 19,218 35,784 12336,121 Pharmacy/Iv 15 183,046 13,818 45,515 59,393 ,653 Cardiopulmonary 7 87,053 22,500 15,408 37,908 1149,145 Anesthesia 3 34,564 16,976 5,929 22,904 ,dG0 51702 Physical Therapy 1 14 418 81029 687 S 716_ $ 499,311 Total `0` $ 1; H 40;,14 $46~2 '667~ Doductions of Revenue $ ( 77,032) $ $ " $ 77,0328 Charity & Bad Debt (151,883) 151,E13 16,090 16,090 16,090 Employee Health Ins, Expense 14 Medical Records 328 11,936 20263 ,199 13,871 Gift Shop/Grounds Maintenance 1,593 2,221 11705 31926 2,333 Cafeteria 10,786 28,719 25,932 54,651 ( 3,865 Plant 16,827 60,930 77,757 {(770757 E 'ronmental Services 36,947 8,080 45,027 459027 Fiscal Affairs/Data Processing 7,428 4,281 11,709 (11,709 Business Office/Credit & Collection 24,530 7,503 32,033 (32,033 Personnel 20691 21800 51491 5,491 PersAdministration 6,294 1,569 79863 7,863 Quality Control 2,032 268 2,300 20300 aeneral & Administrative 684 34,988 345988 341304 - 37 436 37 436 37,436 Depreciation ~ (59,623 Cain (Loss) From Operation 250000 Non-Operating Revenue 25,000 3 102 Foundation 3 102 ~ Total $ 1,r0i~i` 1$"3B ,98 L 3 u2 11 z r, .A;ar air Mlj i.nr.MJA1~r~Y{;~•cRJS51A,A134~N.~N,~1'~aN0.1 ' i F fi 't FLOW MEMOR I AL H 0 S P I T A L Page 4 SUMMARY OP CASH RECEIPTS AND DISBURS9&-NTS October. 31, 1982 Current MDnth Beginning Balance $ 2,175 Cash Received from, $ Active Patient Accounts 864,885 Bad Debt Accounts 51636 Cafeteria 11,303 Appropriations/Donations 11000 Other 76,910 TOTAL Cash $959 734 Tr1PAL CASH AVAILABLE Cash Disbursementsr Payroll $ 437,887 Payroll Taxes 640474 Patient Refunds 11,955 Capital'Assets 71260 Notes Payable 18,666 Other 413,654 Tonal Disbursements $953,8 9 Cash Balance s 0] Cash Investments 30~ Total Cash 3 15 Dross Patient Revenue $1,184,721 14991 Allowances _(V1463) Net Patient Revenue' 7 Cash Received on Patient Accounts $ 864,885 10981 Patient Refunds _A111955) Net Cash on Patient Accounts , 8521OU Cash Received as a 8 of Revenue 77,78 s r lj A Page 5 FLOW MEMORIAL If09PITAL PLED ACCOUNTS RECEIVABLE SUMMARY OCTOBER 31, 1982 Primary Payer Current 31-60 61-90 91-120 121-150 150 Total 8 of A/R Medicare $ 446,104 $ 48,232 $ 14,287 $ 108 $ 583 $ 12,944 $522,258 16,38 Medicaid 32,620 16,505 5,802 8,962 270 11623 65,782 2.18 .14 Blue Cross 67,758 104,383 14,933 11403 21198 190,675 6.08 '-"ommrcial ins. 370,183 271,697 80,705 35,671 81868 26,739 793,863 24.88 Solf-Pay 363,758 229,791 168,267 142,766 93,476 202,186 1,200,244 37.58 Balance after Ins, 133,041 60,137 86,256 52,889 23,654 69,277 425,254 13,38 $7,413,464 $730,745 $370,250 $241,799 $129100 $312,769 $3,198,076 100.08 Plus In-House - 419,596 Total Accounts Receivable $3,617,671 r A/R by 8 44,28 22,88 11,6% 7,68 4.08 9.88 Number of Accountsi 71958 Days of Revenues Accounts Receivable 83.7 In-House 10.9 Total ~ E ~7iJ:Jrt✓itt4Y•'btiw.P. .uk:. rv.,;.,. a ,.r. . yr. .r n 11 r1.VhGS.t.. U.f lub~. Wa. c 1..,~an$AdRfw3,ps~j. Page 6 P 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 ]3 ANCE SIU~BT 1 00110BER 31, 1982 ASS`PS LIA131LITIES Cash $ 10,345 Accounts Payable $ "0- Accounts Ppceivable 9,9,659 Payable due Flow -0- 109,004 Accrued Payroll Inventory 1,949 Total Liabilities Total Current Assets $ 110,698 IPM[TFT CAPITAL Furniture & Equipment $ 11615 Pledge & Gifts $ 90 Less Accumulated Depreciation (1,166) County Dome Health 56,919 Not Equipment $ 149 Gen. Fund Bal., Beg of Year 47,896 Retained Earnings Current Year 66139: Total Capital $111,297 } f i TOTAL OPERATING FUND $111+297- 7bTAL OPERATING FUND $1117297: s Page 7 PLOW MEMORIAI. HOSPITAL, HOME HEALTH STAT'EMN'NT Or REVENUES AND EXPENSES OCTOBER 31, 1982 hbnth RE.V Zm. S Patient Revenues $ 37,472 Deductions of Revenue (61055) I' Net Revenues $ 31,417 i EXPENSES Payroll & FICA Expense $ 200842 Supplies 21313 1 Travel 11602 Enployee benefits 179 i Depreciation 89 Not Revenues $ 25,025 Excess of Revenues over Expenses $ 61392 ,i ~1~YkiN•1.1w#+5i,rFlr{Jp; alp, f•t r; :..5 i :,i.,,.,.. a ~IIVe~~V'AytxY~JKAf`b.n f y DATE 10/29/82 10:09 F L O W It E M O R I A L H 0 8 P I T A L PAGE 1 1t BAD D907,7RANBPER REPONT VCR PERIOD 10/01/02 THRV 10/31/82 PqTIENT NUM95H *44,04 PATIENT I!!•11E sw** *J**r OVARANTOR NAME DATE 1A77gE DAIgg U BALANCE pF% NUIIUE ADDR, CITY, St, ZIP AUUR, CITY,ST, ZIP ADMITTED UISCHAROED WRITEOP OF ACCOUNT 101 390427 Al1b D£ iBRY 8HAM8UDI1! i lDN/! RY BHAMSUDIN 3/24/82 3131/8' t0/28/BR 307.79 J ME? 014 T% 76,101 D ICA T% 76201 NO rosporle to Collection efforts. S~ J 101 341861 DELL AORLAIDE 2^ KAREN DCV.V ADILAIb7. SHtA4EY 10/14/01 10/15/81 10/78/02 604.00 CALALLAS TX 75'16 6A1.LA9 T% 75k16 No response t0 CO118Ct10n efforts. \ 201 390864 D n4li DINEBHA D1gBLP DINEOHA 3/29/82 10/28/132 Ito. 06 OETONUQDILL M114 TX 76201 ~BNrONDDtLL k319 TX 76201 No response to collection efforts, M 202 390864 UUtI LLE W N58NA III DI DINISHA 6/1.0/88 l0/28182 53.00 10 0 RUDDELL Ntl9 Sd UDDQLL N114 No r0sponse to C011OCtlon efforts, ON 7% ~R201 N T% 75201 DDGG TT O6 I 203 390064 D` gp1Np OINESHA Igp DINESHA 6/16/02 10/28/82 40,75 I)N~tF UDD8LL 11119 TX 76201 I U[NN DDILL N119 TX 76201 No response to Collection efforts, UCCC T 1.J DHNYYTdd 38,00 y p L 18 204 390564 sq@ QNUUOGLL 0119 D1IJ TX HA 76201 Ag D6N9tlRFfJDUGLL 0119 DIrA8HAr6Rol Nor response to Collection efforts, CNlyIiii,, NWN D E ~ 101 359056 ff' IJOUNIVERBITY DRUSTx 76201 0ENT0I4 ~20 SHOY 8NOR8JRDXRg7620I Arr ngements nOtlkept Bi 10/91:1/02 480,70 T r 102 352116 D0YNTjN DEBORAH F~plyuTYN1TD0~{8N VIRGIL 111 1/24/822 1/27/82 10/20/87 312.06 NN IDITOX 635N T% 76266 9~NOEROx 635N TX 76266 No response to Collection efforts, R 201 28b7g0 JAL T61Jt6LO61 KATY T ~i 96 ~1 g CA 93446 80respone to C0118Ctlon effortl /BR 15, l0 CA 93446 ~~5g11~j~~LK' KATY y 209 118034 AggqP,D//D I PATRICK AMPPq H L PATRICK 12/26/81 10/28/82 48.30 [112LA1N Tx 77401 11Mtoll~ATH&R TX 76201 NO response to Collection efforts, r y 101 311688 QR GRpp , KATHY C Rr4R~{ ORADL9Y R 0/12/81 8/14/0l 10/RS/02 624.25 AROYL@OX l.lOA TX 7622& A GVLO.. 120. TX 76926 NO response to collection efforts, / 103 '44178 Cg1C89TLLOAN OC07T {C~HHApNCwXLLORB BOB ULENN 12/14/01 IR/16/01 10/28/82 Ito, T1A4N 06 RAI DA A08 TRL AK TX 75065 LAKEOQALLAO TX 750611 No responso t0 Collection efforts, 1.r J Tx BVFLVN OR S COU Y NS TX EVELYN 77522 10/2.9/00 10/27180 10/28/02 11j,00 tot 12070 C%. SET, P OX 3250 77522 P OX 3258 CR NO 1`06W30 t0 C61164tiOn efforts, 4 i f r I r I i 1{ » 1 DATE 10/29/82 10:09: rLOW 11EM0R I AL H 0 8 P I T A L PAGE 2~ , DAD DEDT TRANSPER REPORT FOR PEPIOD 10/01/82 THRU 10/31/02 PATIENT NUMDRH 44044 PATIENT NAHE 4444 4e1144 pUARANTUR NAM& **A* DATE DATE DATgg OF BALANCE PFX WVMDE ADDR, CITY. BY, ZIP » y y»~ AD A, CIT1',8 . IP ADMITTED DISCHARGED WRI7EOPF OF ACCOUNT 101 4R6221 CpVOHL 8A ApDEPT CCdUO Ltt$R ROOERT 7/18/02 7/18/82 10/28/82 296.83 X9218V jtu s 81 410 q U C~A;L$a 87 M~210 TX 75067 L Wt V111 L TX 73067 Unable to locate. i- 10/28/82 40,79 / ~ ^.O1 380063 cC~jVV% , VINCENT CgU2 , VINC$NT 2/95/e2 7GO OREbNDERG. ~~7 HYgTLS D NTON 7% 75201 NTtlN TX 76201 ~ No response to collection efforts. x'01 396331 CDU71M[BNREALY N8 TONIA DDAgIEgIp9EA Y N8 ELANOR 4/17/82 10/28/02 f0. 00 L8WI VILLE TX 75063 LEW18V1LL~ TX 7$063 No response to collection efforts. 102 297931 ATd DIM NEBT GARY IURqTISILLA LINDA WAY GARY 9/91/81 9/29/81 10/28/02 366,90 ALAS N T% 79059 I PA~O TX 79932 no response to Collection efforts. 1 371468 ~SNTfiMIfN k24 ITENTX$ 76901 UNT'k 024 W$TXTE 76201 No response to collection efforts. 123,00 701 386183 ppNcOfHT TWIN LAr.~BRMH% 76201 D6MT01JpQLL DLVD TOTX 76801 No responses t0 collection efforts0/112 40.73 1/20/99 4)2.20 o 209 33997 DaNTODUE RtCTXRA 76901 D NTOo9L JJTXY 76201 No t response l to collection e fforts 101 243603 IJLSOX UILLIAM AA'TNIEf, WILLIAM 12/02/80 12/03/80 10/08/92 270.00 Mo R 70! Tk 76466 AF7G~HDtlX 70l TX 76266 0 0 No response to collacLlon efforts. 203 100632 JAO ITQH WOISTH OR, CHAR'TX LOTTE 76Q01 N7pjT WRTH OR 40, GERALDI )6QOl 11/03/81 10/20/82 62.00 2N T T 1Sqq Arrangements not kept. 1 378230 $~MfOW EY NRtJTX 76201 AL~M AL IO~~tj~DBEY ! WETXY 76201 Ar2/23/92 rangements not kept, SO/28/88 42.00 901 390420 n0s OHNyT RTT bbgY TIMOTt1Y LD0ApUOIHT$pTy , TIMOTHY 4/22/02 t0/29/82 38.00 fINTON iWJN LAv,r~ M.HtX. 76201 a8NT0 TWIN LIKES MHPT% 76201 No response to collection efforts, 101 370336 gA~9YI; ROD BOTH !g RONALD 9/20/02 2/2J/82 10/28/02 763.10 L W110ILLk TX 79067 JAY A ARILLO tl 8 B CL lJ 0TE7 OIN1pT6OX t TX 76QOt No response to collection efforts, ~ ,101 319830 1~NTONILLAO$ $Af3T DAto ppBk76701 I8N$Q6AA MARION 1$02.65 ~-0 D TT ~ ; TX 75453 No response totco collection efforts, . 1~ r, ♦ 1 1 711 DATE 10/29/02 10:09: F L OW 11EM08 1 AL H 0 8 P i T A L PAGE 3' DAD DEBT' TRANSFER REPORT FOR PERIOD 10/01/82 THRU 10/31/92 PATIENT 14UM13EH %***r PATIENT N/:ME *r** 1 *ra+r GUARANTOR NAME * DAT DATE DATE OF DALANCE PFX NUMDER ADDR, CITY, ST, ZIP ' ADDR, CITY,BT, ZIP ADMIT ED DISCHARGED WRITEOFF OF ACCOUNT - L S 284042 D/1VN18LAtlES LOT 141 DARLENE DAAVV[WBgLCII DARLENE 2/18/82 10/28/82 67.50 D'NTtlN TX 76201 pp0 GROT TX 76201 NO response to collection efforts. ; 10/2 0 264042 p YNOLA1QS LOT 141 OARTXl,E7b201 uHNYFLCII DAT%EN76201 No2responsB to collection eftorte/B2 33.00 L T fJ J 101 284042 pp 18 DARL.E14F A 1S DARLENE 2/26/89 2128/80 10/28/82 1598.90 TyIYN LAKES LOT 141 pp 00 {~EI.C}{ i DGf+TON T% 76201 DENTQIJ TX 76001 No response to collection efforts. ; 209 284042 prpr99VNNISLL DARLENP gDgnAnVp18{~~ DARLENE 2/20/82 10/28/82 38.00 D N7tlNAtlEB LOT 141 TX 76201 OHNTONLCH TX 76201 He response to collection efforts, L 206 284042 AOSS LCH DARLENE BAViS DARLENE 0/26/82 10/28/82 69.29 ED10 WB 900 14ELCII L tl2NTON 7X 76201 DENTON TX 76201 No response to collection efforts, v t• 201 3579897E6C0(1ONY73E DEIOIJIhL $11TAaAR3LLO R(1TXLD7b201 No3respoSn a to collection efforts, 48,00 / O TX 7'6096 D?LO N Cc LL~~ppcc 201 405197 PVAgIS 1LO7 CHURCH D% D914141 762!19 No 5/23/92 10/29/92 response to collection efforts, 80.90 TX B 76298 gN IJT PdIN7H Dk 611 AC K ~ T PO[IJT ' 1 lot 393410 D INg C , DONNA DAtg/1 cC , RICKEY 9/24/01 9/20/9l 10/28/02 1145.32 AJTUAOWAN TX 76234 p iD~tpAg2CfOA UROWAN s% 76234 Arrangements not kept, 202 392800 DGNTON WORTH DO:I 26DCNT% 76901 ABN~tlNR WORTH DR DkS4X LEY7901 Ilo7rs 4nnso i0 Collection efforts/92 180.00 L 201 411320 inn6V188W JANET tDA 8 JANET 6/02/82 10/25/(12 64.80 ROA PRAIRIE TX 76201 DEN ON PRA1Rtf TX 76201 He response to collection efforts, 82 114.00 kbo 209 90848 52 ONTEMMONB JOHNNY 76201 ~~N~OSTRMMON9 JOHNNY 76201 Nolresponsle to collection efforts. 201 369001 JD V S~{ JOHNNY ppppAAnVppIgp qq BARBARA 1/21/82 10/28/52 85.00 V 78 V~0~ 373E TX 79006 LfiW19V3LLE TX 70067 No response to collection efforts. 201 373249 nAIg LAMELOA DAVI L~, LA 4/07/02 10/28/02 59,00 6oNTOryDDELL N141 TX 76201 9INT0'.IE%ANDBR TX 76201 NO response to collection efforts, DGG J Vi 1 1 ~~1 t411 Y. Hr r: n•~vl Y. v.i. v::. . a ,ery >i. ,nl ~ ~N1! 4 rf1.h 5l ~Y+Nh' ay, t~ .....a....+= W E M Q R 1 A L HO BPiTAL PAGE 4. - FLtl 11 DATE 10/29/82 t0: 09: DAD DEBT TRANSFER REPORT FOR PERIOD 10/01/82 THRU 10/31/62 pp g 44441! PATIENTNAME 444■ 4444ADDRRARCITY,ST, ZIp44r ADMITTED DISCHARGED WRITEOCP' OFBAAWNT pF% PATIENT NUMBER NUMB M ADDR, CITY, 81, ZIP » » » - - . » A _ !4 ^2 236964 NAVfBHp~IlLE T& p 111CHA L 1VgIS T HM SUZANNE 3/04/82 10/29/87 131.20 9 l;) AlNE9pT6. 0IIAT11 ( 076240 ~AINEeVILLUoRR[B T% 71.240 , NO rOSponsO to collection efforts. E9 1 E JOHNNY 6/16/82 tO/28/82 76,00 202 287363 PDON 2 DOLIVAq , MICH110 E D~I t/a DDLtVAR t, TX 76201 No response to collection efforts. gqMMTXqq 76801 DEN DEN~TTTyO 8 IJ S01 220467 fi~N NOT 200 TWIN LANE XMHp76201 DBNONOT 250 TWIN LAdMgE9 2/ 10/92 2/17/8: 10/26/92 1070,30 u 'j. LOT 76201 NO response to C01106tien efforts. < ny~ ~/t , BARBARA 6/00/92 tO/26192 17,00 203 360170QpOSTEMMON6 PHtTX IP 76201 Hy2~0NTEMMDN9 TX 76201 No responso to tollettion efforts. U N ppggfyyJtt pp BHIRLgY 6f 18/02 !0/88/82 2.00 201 416694 pONT WORTH CR N26ANTX 76201 DENTONT WORTH OR 026 TX 76201 No response to collection efforts, ; 10/75 82 2b'J, itO DG fy bµpµ 10pj l`J~ RONALD 11/02/01 202 346676 /!NJ160DAMBHP LOT 3RONTkD 70066 l,A~Ml6D0DOOD MHP LOT 52 7k 76066 No response to Collection effOrtS. w A AX H}{ Dba4,2 Cp JO N 10/24/51 10/29/82 96,75 9AIJO X 76262 NO response to collection efforts. ~J 201 344b2~ CA CRY PT CE+•I~ra0N 9 16262 NOAWON6CKY PT CENThR N j ~i$ T 5p xx , APRIL READtNyIyEpfR~yC 4q , DENNIS 1213L/61 1/01/02 10/26/82 572.09 l0! 363820 1g,a OQOaRTC T% 76096 BRIDONPtlRTC TX 76026 No response t0 Collection efforts, 1j} R 6 EP WAY ANN i ,1RRRY W 9/21/9t 9/23(61 t0/28/82 240,00 tot 311849 DgAN g TX 16201 O 09PRINO VALLEY Dq TX 76201 NO rOSpOnse to collection efforts. u 1gN008PR1N0 VALIE~ CR t pDgqG Tygqy0yN MARY Ring JOSE 1/02/82 1/04/82 10/28/82 1145.90 103 68441 I1 TtlN$AELM TX 16201 p TON 8 ELM TX 746201 NO response t0 collection efforts, t'~1 too 2b13b2 7 NBY 1181.tlDYB D N0NE pp~ry~ RICKEY 0 9/27/81 6/29/el 10/28/82 933,99 9 gpCp gV DDD Nl9 T% 76026 b P0I11'DOD 019 TX 76026 NO response t0 collection efforts, rrj DR~OQEI' 101 381064 DGGHNY CORY OpRppXAXt~ MICHAEL 11/14/91. t1/1b/81 10/20/92 396.60 HAYSA26 N6 0601 HAV8426 R6 67601 N0 response t0 collection efforts, ANGELICA pp1 ANOBLICA 9/08/61 9/10/61 10/26/82 791,70 101 330909 JJ4T~tlDp HANT6NOP TX 76201 No response to collection effurts, fl') TX 761101 pDD6N N Fl r , l 1, .1 .E. ~.r. DATE l0/?4/92 10!06: F L O W Ii E M 0 R I A L M O$ P i T A L pAOE S 1 PAD OCPT TRANBFER REPORT FOR PERIOD 10/01/82 THRU 10/31/02 PATIENt 1lUMDER wwawM PA I!/,rgE ♦M«f M044M GUUARANTOR NAME Ma*» DATE DATE DATE Of _DALANCS_r I PFX tJUMl1 R ADPA CITY, 0t, 21P AbDH: CITVy87 ZIPADMITTED DISCHARGED NRITSOfF OF AACCOUNT 4 109 +y77628 bJL~6O%Jy_g~M y" TEA89A p-pp1pp-1LEON DANNY 3/07/82 3/08/82 10/28/82 2116,60 PPn3IILOT POINT TX 76258 p1LOTTXf3OgNT TX 76"., No response t0 Collection efforts. DOLL 109 12031 pg DGN1ROSELAWN TREO% 76201 DJNTONOBELAWN DATX T l 76401 Bankruptcy 12/91/81 10/2B/44 1433.10 LLA G CC Apqp collection efforl5Q/82 150.04 201 363273 54815 CU4ARLEB JOY1X 79067 00p3g8g4qLEW16V2LLSLEB J1TXY 75067 Nolrespona 2/30/81 201 346866 8030fiNp J 9T SUSAN BOWDEN SYLVIA '11/Ot/S1 10/28/82 2i0.0o LLJ aRBaENCN SBtiST 4 TN 30464 No response to collection efforts. v, IpnAWREVNCEDURO TN 38164 { a 201 384296 DGNTONRIANOLE I)-tO M16NTXIJ 762Oi DENTONRIANDLE MIJP ~II~ITXEN7b261 NO eSpon e to collection OffOrt58/92 91.00 4`f . en f as1/22/9 !01 370206 pCCZiURX 000 TX 76834 DIiCAt0URX847D0 IJATXE 76234 NO response2to c llection OffoOt/20/02 ag t01 360488 40&EM46INAL MC3 CARL KILL s TX 76201 HIloxTIMDER CARL 65634 No response 1 t0 CO110CtI0n efta0rts,/82 653.75 N Irk 701 314886 9Y91" OAAREYL RU8HAM + DARRRYL 11/47/81 10/50/92 113,03 CARROLL 0149 1 8 CARROLL !.y DUNTON TX 76POI bDENNtlTOOnNxx 3 ppTX 76201 No rOSponSO to C0116WOn 0FfOrtS. 0 t g/8a 607.60 /05/01 f0i 344049 PytlEA 323 SUNSEI VItA i ,LTOu 476140 oAIF28VI44E SVN05TtV1L~%Y J76240 Nolresponatto collection on effoots L'I tlEE8V2Ll E TX 4q bb -0329 RROINAL76201 NO rOSPOnatto CO)IO tf0n of ort98/62 938.60 103 to C -0390 EAN6 0NktJMWSLL JESSICA 76101 DENTON ND T ►T: 203 244664 E L1$A~ CONWIF DDOWNEYYK MILDRED 12/06/21 10/29/02 194.70 9 NN 'DENT R TX 76901 80 response to Collection efforts- 0 NTO I TX 76201 U2pHN7gN3 fog 247478 D IN¢BDIikNARD LYHOXAY 76201 L3 OENTON PRNARD OATXD 76501 Nolrespon el to co~lectton 0fforts~/8g 4q 46 ry 904 233192 AELTZ US BYOX 64 TOMMY Gg 1Y` TOMMY 1/07/82 10/28189 343.90 TX 76297 AVDAEbO% 64 TX 76227 NO response to Collection OffOrt%- ct .'c. .r .u'. ud.r,q. +.~ei. .:xiti...'.rn~akl.s,aa~,4".•%'t M13/NyXf~;V.wV~~.~~MS. i ti II 1~ 1? , I' 1 DATE 10/29/82 10:06: F L 0 W 11EM0R I A L H08P I TA L PAGE 6 DAD DEBT TRA14SPER REPORT FOR PERIOD 10/01/S2 THRU 10/31/82 PATIENT NUMBgN re+tuu PATIENT NAME aryr Aa►w* OUARAWOR NAME DATE DATE DATE OF UALANOE i';1 PFX NUMpER ADDR, CITY, OT, ZIP ADDR, CITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOOUNT 201 320880 EDROUD LN 11DHAMi1tdb ORq~~11DILN MOHAMMED 9/02/81 10/28/82 138.00 O O0ORR DLEY 045 7X 76201 0pRg ORADLEY'N45 ENTON TX 76201 No response to collection efforts, 201 335232 JgpAW1NWNy~. OEOPFREY HB~q{OQAREVW! SHFRA 2/12/82 10/28/09 72.15 rte, t,. N11A88EV 7X 76201 DRAT&HADSEY TX 76201 No respomo to Collection efforts, 1.J IOI 0507$9 RYANS 5 DUSTIN 76227 AURARVX 303 MITXAE76227 No responselto Co11/94/81 llection Worts, SOaS 35 AubRNYBox 104 35113 TARNS GLENDA N FRED 2/14/82 2/21/82 10/28/82 001.65' ~ ENTONOTT T% 16201 ypEN6T NTT TX 76201 NO response to Collection efforts. S 371740 C 46DSCRIPTURE HARTX 76201 In ON0N SCRIPTURE MARK % 76201 No response 210 collection effoOSIIB/ea 141,50 I~ ` 203 306613 UbASNN SAGEBRUSH ' TRACY by~ SAGEBRUSH VERNON 5/15/82 10/27/82 41.75 RNTgN TX 76201 RN ON TX 76201 NO POSpOOSO t0 Collection efforts, 101 363010 pFApL1KNBR EMILY Matt R H L 12/99/SS (/17/82 10/27/82 5374.65 JW IN TX 76247 Matt x 17 TX 76247 Bankruptcy, qq U 201 401257 FEAflogLAY UR TAMMY F5~y40180ALY pR THOMAS 5/01/82 10/27/02 53.00 Y14B C9OLONY TX 75065 7HE COLONY T% 75056 No response to collection efforts. 201 4069000NT 1TH LUT N20 ROBE RT 76201 F RREILORAND ' ROBERT 5/14/82 10/27/Sa 115,50 y N kNIQE IL 6204D No response to collection efforts, /99/82 201 372029 DG~fON%®7101 KENTXiH76201 H Q%Ea5433 IRFLNO 336Ra No response to collection effo 0'27/82 109,75 201 403907 ~L77TTTTON DANHW.11 1Rq HI 111 1 . THOHN gg DANVILLE D/09/02 10/97/02 57.00 t'1 O WROVILLEAPT 250 TX 76240 OA N65VILLBAPT 20C T% 76240 NO rOSponse to Collection efforts, 341.46 V 2 8D ap776p33 tlqagRLOEng 101 306071 O fO V LLE r1ARTX 11240 GAiItN69V[LLE PA TX 76240 Arrangements l not lkept 6/81 l0/R7/8R 103 206011 jJ84raTflLLA 0103 AM1Tk '16208 09TELLA 0102 ' 7tl7XY 76901 Arr1 7mOn9lnot1 /14/81 10/27/82 280.btl 1 V J ►w , i1 DATE 10/29/02 10:06: F L D W M E M O R I A L H 0 8 P I T A L pAOE 7 DAD OEUT TRANSFER RfiPCRT FOR PERIOD 10/01/82 THRU 10/31/82 PATIENI' NUMpER 04*** PATIENT ka.M' A*** **0** GIJARANrOR IJAME nra♦w GATE DATE DATE OF pAS.ANCfi PFX NUMDER ADOA, CITY, 8 zip ADDR, C17Y,ST, ZIP ADMITTED DIS HARO5D WRITC•OFF OF ACCOUNT r 101 276212 F tILFY , 11fiLVIkA FINLH EYNHANDLE , CHARLES E 3/01/82 3/04/02 10/27/82 391.31 J qq 7 PlA1t,!tIANDLE gtl7 gq D~NTON TX 76201 DENTON TX 76701 No response to collection efforts. 201 382469 F AOptIGCRIPTURfi SCOTT FLAppIO SCOTT 3/04/82 10/27/82 38.00 D NtON T% 76901 DCN1'ONCRIpTURE TX 76201 No response to collection efforts, 101 166470 pLANggRY CHARLES ANFRY CHARLES T 2. DOX 24DC 5 11/Ol/01 1l/OS/S1 10/27/82 529.30 ft BOX 245C AUbREY TX 76227 AUBREY TX 76227 Arredgemonts not kept. 201 412221 7F7L1IMISOLLO INORIO FLFMSNULLO ESTERLENE 6l04/92 10/97/82 31.00 w 201 426639 FLDGNTON TX 76201 RNTAOtN TX 76201 NO rosponse to Collection dffortS, OgMqM t1OT7 , JOSEPH PLOOMM8CD0T EUGENE 7/18/82 10/27!22 80.00 y DgNTO ppOTCc TX 76201 CDENTON 0 TX 76201 NO rosponse to collection efforts. IhRjI 02 ' 201 4063172 6LU AtDO6H ELBTX 99999 D 11 RjgN ELBX Novedtleft no address, 10/27/82 72,00 I , L 202 233114 PPaLOIt9AS IRMA FLOWERS , "ILLY 6/27/82 10/27/02 38.00 Al DANT8091RD TX 76201 D 2157O NUEDIRD apaEN TX 76201 MovOdl left no address, 9 201 374726 pA TO OOP N 209 APT MP-6 3 F 1) CA g O T I""Y 76201 pE hOOP 288 APTNP 6CHT%YL 76201 110 re9pOnS8 to collodion efforts?/82 33. 50 w 201 423796 9F1050g~pJ6DD6LL 013 ' b1LLIE 33PlC`gqURUUDIHILL 0110 fiSMAIEL 7/!0/82 10/27/82 50,60 BANTCN TX 76201 OENTON TX 76201 Arrangements not kept. 202 27894 ppSTBRBO% 178 ISARIE gSgT11t8 JOE 5/27/BR 10/27/02 197.75 w Rhup TX 76249 UM 7 7X 76249 NO response to collection effort`9, 101 391517 rg3EDOX 1753 HICHXE6 76230 q WICx 1753 ORT%RLY7623O No1r sponselto collection efforts?/OZ 144.70 w b1p ff ryry pp$xx II~1 P9 10/27/82 1008.90 102 123564 PROPEAOINTTT TAMT1Yt 76258 lLOI9 OINT DOTXLO 76250 Arra1/25/02 ngements not kept, w i p qD ^L~31 4/09/8 1 ZO1 393850 Fj 812 OAK HILL NN1JT%R 76201 HNtON819 OAK HILL J: "VaR762O1 NO respOn992to collection of oOk27/8Z 59.50 30N * 77~ Jfu. i I I Ql". DATE 10/29/82 10:06: F L 0 IJ 45 E M 0 R I A L H 0 8 P I T A L DALE 0 DAD nEOT TRA148FER REPCRT FOR PERIOD 10/01/82 THRU 10/31/82 AA PATIENT NUMBER wwwww PATIEIJT 111:1E w+sw GUARAM CITVRpR8T, ZIPwww ADMITTED DISCHARCED NRiTEOFF OFDAACCOUNT PFX 14UMBER ADDR, CITY- ST. ZIP 4/04/tl2 4/13/82 10/27/82 398.68 tot 393785 FnANCIS PATRICIA FRANCIS BT N120 ' PATRICIA 244-1 OAF. N12D TX 76201 O ~44 OAK NTOIJ TX 76nO1 No response eo C011ect1on efforts. Y5, DEENTON 202 415216 FhgANNDp,Rp PATTY FRANK PATTY 6/22/82 10/87/82 193.10 DGNTOMOADWALK TX 76201 DENT01J0ADWALK TX 76201 No response to collection efforts. 1 3/07/82 3/00/82 ,10/27/82 614.00 101 083140 FRANK RANDALI FRANK RANDALL 33118 NORTHWOOD 318 NORTHWOOD TX 76201 Arrangements not kept. BA }}2 NTON TX 766201 DENNT014 cc//T10127/82 1 309130 AR?RQEP0NTN8 CHATINAIIl76026 63RHOPPORNO JDTXD ' 76026 No response to collection efforts. 58.00 Ii D ~Y O 64,00 201 422139 FQA~N V POOR" FRT*AtY`N6pDpX% ROGER 7/09/82 10/27/82 RA gBCXE37M TX 76056 04J C IN5137M TX 75065 Arrangements not kept. Q:'1 0 11 LEON 3/18/82 10/27/82 30.00 701 307233 FFq t:6MA4 LOON FqqEr AMILL STREET D NTONHH~tLL BTIIEFT TX 76201 01N44 7X 76201 No response to collection efforts. 101 92213 r~RN~U NR18 HORACE 7 SNCCRRIB HORACE 9/11/74 g/ ?9 l0 /27/82 $10,75 M 1 TX 7.•069 MC66Kt0ptIN1N1EY TX 75069 Arrangements not keN.. Jp /29 101 371021 S6~ aN1 NEY LLAAE BAST ApTLV% 76701 dENTOWILLAOE EAST #204TXRT76201 Arrangements notlk Pt/B2 !0/77/81 1362.35 Iy 101 437046 Cg~L8~OLCECR❑❑{{, M40dJEANIJti FUUpLL 0 L 0g 8T N204 JRANNE 8/17/82 0/17/82 10/27/82 291.05 LEWIBVILLESOE 87 7X 75067 LEWi V~LULH TX 75067 Arrangements not kept, diy 201 7/02/82 10/27/8.' 59, 50 gg 421386 911MEgpppppINHOOD RICHARD MC801J008 TX 75149 No Aresponse t0 Collection efforts. P} 102 270272 OpApDpDDAIIpIII) WORTH LR N4INNHTIE GAApBBBpARRD WORTH DR NAILARRY /21/S1 5/14/81 10/27/82 3479.45 DGN70N TX 76201 DENYCN TX 76201 Arrangements not kept, 202 338038 0A ON g H . DONNIE OOA0t4qtNOp DONNIE 7/93/82 10/27/07 R3, 00 4CWf8VYLLeARLEB 0111 TX 73067 L1EW 80 IILLgARLFS N111 TX 75067 Unable to locate. {tj 201 419838 O l0 /27/02 q3, 00 p~5 NNp }}pp STEPHANIE GAIN o }}{{qq . OLCRIA 6/20/02 LOW1SVILLJERLEB TX 75067 L Wf8VIL46Rl.H0 TX 75067 MOvedt left no address. 41~+ • t f p lS, DATE 10/29/82 10;06; F L O W li V. M 0 R I A L H O 8 P I T A L PAGE 9 L Iii DAD OCDT TRANSFER REPORT FOR PERIOD 10/01/92 THRU 10/:11/82 PATIENT IUMDER r4*40 pATIENT NAME 4*** wnwww UUARANTOR NAME etirw DATE qqTE D TTE Or DALhNC~E PrX NljMOER ADDR, CITY" 81, ZIP AD OR,CITY_ST, ~ZIP- ADMITTED D18CHARGEq TEOFr OF ACCcc77UUNT 54 201 423574 p0p INC9 JEREIfI' GAIWEg , JEANIE 7119/82 10/27102 18,00 UNTON X 69 TX 76201 pE7N708HERWDOn 065 TX 7620t No response to collection efforts, 202 384361 ORgA~I~NNO LOCUST ARMANDO 23d9NIJOL0009T ' ARMANDQ 4/17/89 10/27/82 61.60 D NTON TX 76201 DENT014 TX 76201 No response to collection efforts, I S/ 201 409647 0NOAOOx 348 JDHNNY OANDDAtl t ROTNE 76290 Unablelto elocato, 10127/82 38.00 PILOUT PDTB RR; POINT TX 76238 P ILOT jj~ 202 211722 DAN ON MULBERRY " ORETXRY 76201 DMYOM MULBERRY ORTXORY76401 Unablelto°iocate, 10/27/82 530.25 ACC CCLt i 102 100269 ~tMTDNALLEY VtEli NICOLAS 76201 No" VALLEY VIEW NICK 76201 Arrange/et not Aept'gt 10/27/82 909.60 ~ 203 149623 ARCIA PATRICIA GAqCIA REY 1/13/82 10/27/82 242.10 og14 CAIgPDELL 5 q CAMPDELL 6GNTDN 7X 76201 hNT04 7N 76201 Arrangements not kept. 1 308445 ~1AtgCCt1f~CCtlRMICN AUDEN GA CIA DR" NlRUDEN l2/07/0I 10/27/82 30. 00 ON TX 76201 No response to Collection efforts, I`6NTgN TX 76201 D NT FORT WORTH ~ 202 407808 pAA7RNNERRp JAMES GARNER MYRIDON 0/04/82 20/27/92 10. L0 UAIRI 303 TX 76266 9ANCanOX 305 TX 76266 "o respOnSO to Collect100 efforts, v 202 317362 oqpql~ RE ERIC GAdg7R~1CrT JOHNNIE 6/30/82 10/27/82 40.00 DETON~TT TX 76201 DENT NOTT TX 76201 NO respopse to collection efforts. w 202 244889 $pA1RAT CRgCE77 JACHIE % RVT 8NO JACK 4/13/92 10/27/82 103.00 M88 TlMtlliR6 ICktl88T[MBEkB UURN ONN TX 76201 ENT ON 7X 76QUS No response to collection efforts" 201 399043 OARRETT LAKES"" 0 AREIT WANDA 4/13/92 10/27/88 92.00 FT WORTH OR 063 IILBT90N W 11ThRN MHP 063 FT WORT DEIJTON TX 76201 D NT014 TX 76201 Hovedl left no address, Y, 702 269712 OggApRRETI TRYPHkNA 0ARRF1 TRYPHENA 6111192 10/27/92 10°.30 Bat LONDONDERRY 7f 76101 6f6TOA KLANE 7X 76901 No rOSpOnse t0 Collection efforts. NTON 206 299949 RARZA COON IS OARZA LEON 4/48/82 10/27/92 249.30 3 l3 REUBTONE 3813 REDSTONE D NTON TX 76201 DENTON TX 76201 No response to collection efforts. 4 ~T t. Y7 'ds'~lr~~ i. v . P.:..::c ..It.,S i. aY. L.r [Ft. IF ~T4. .6~f. FS,. t. I J.L .n, 10~: - P A02 to GATE 10/29!82 10~06: FLOW IiEMOR I AL 1108E [ T AL BAD DEDI TRANSFER REPORT FOR PERIOD 10!01/02 THRU 10)31/82 M4444 PATIENT tW4E *q44 u4M44 GUARANTOR NAME •4~4 ADMITTED DISCHAROED WRIYOOFFF OFDAACCOVNT e~ PATIENT tdUMDRH ADDR. C77Y.S7. 2IP 8T 2I1P - PFX IJUMDE ADDR -CITY, - ..--.'a--- jl `--z- NpApnn DSLLA If26/82 10/27/82 47,10 {u} 207 132654 9pRtlUX 370 NARTXA 76227 AUDRF'Y 378 TX 76227 NO res uunse to collection efforts. AUDREY 4/30/02 10)27/82 f85.84 ~ LINDA RR Box . LLNDA 2 58592 OENF22SpNpAptltl RR 80X 990 ;,f AU3RfiYt S9B 7X 76227 AUDAEY 7% 76227 NO response to collection efforts, 102 274902 AORTDMDDELL N129 ' TAMMY O IJ&8KEV76a&2 NO resDon50 2 to collection efforOts 7/82 559. 80 I1I TX 71201 R*NN RtO7TmY l 11/06/91 027/92 29.90 l03 229292 DOgTOiti 08ROW SALMA 11111 N08ROW OTTXAN 76201 No response to collection rIg GG MMTX 76201 lDD. 9NNyTTp014 10/27/92 38.00 76201 No response to collection efforts. 201 392274 p NTONEI KEY AFTJAIiYX 76205 D NTaOEL REV APT H7 JATXS 2 N N WILLIAM JD/20/70 11/07!79 10/27/82 }}gg~~ ~~pp}}ggy 76201 BANOI~RNTON 8T. to1996.84 TX 76966 Unable t0 locate. 199 609081 D~W}OMOWLER MA07%E pp 10)27 204 330G99 0(gOON VALERIE 9 ~DONINWRIOHT ' R039AT 7/09/83 /82 90.75 31T00 8NRUDELL NfIQ T% 76201 DFF,NTIN TX ib20i pnOble to locate. l5 L@~RR S Ap CARUL 1/29/82 10/27/84 120.50 202 365379 31 N1- ILL N 7INTX 750&7 3EWiBV OW. EN TN 750&7 No response to collection efforts. P,'J p I Dp pRppOptt C3 bb MARY 4/18/8'2 4/20/08 10/27/82 731.st0 l01 397034 RIJILA13b3 ' OREr%Rf750b7 RiTo op OL TX 75067 Arrangements not kept, Sul LMWttSVppINLOSLLE (si% f0/97/02 1tlB,a0 l 373496 Vf E3b3 LAST JA790b7 4 WI'Vq~Lg&31 TXN 750&7 No rasp nse 2 t0 collection efforts, ;t$ LL 'D 111.J W1 H DORA LORLA ROLANDO 4/131132 4/13/82 !0/97/82 33,43 l0f 395319 'gnNARUDDELL TX 7&201 DCNTONRUODELL TX 76901 Arrangements not kept, y,.q D NTON &/07/09 10)27/82 15.00 1 212609 gR0 RUTIA 0 ER RUTHIS LLAKSY 8TRIEI 58 lbAKSY BTREHT DBNTON 7X 76201 D NT PI 7X 76209 No response t0 COIIeCtibn C1fOrts. i LORBNIA 00gppDeR g T , LORENIA 6/04/8t 6/09/O1 90/27/84 1099,00 101 299883 Tog HICKORY EVN1 2RDGAVLAH N7-0 LA 70535 No response to collection efforts. DEN 1 TN 76201 Sv DATE 10/29/82 10.07: F L O W It E M 0 R I A L H 0 8 P 1 T A L PAGE 11 r•;p DAD Deal TRANSFER REPORT FOR PERIOD 10/01/82 THRU 10/01/82 PATIENT IJUME H rarrr PATIEIJT t/AME 4r0r r6rrx 0 ARANTOR NAME rwrr DATE DATE DATE ppr DALANCE PFX 1 NUUMD ADbR, CITY, 81, 21P ADD, CITY, BT, 21P ADMITTED DIRCHAROED WRITEOPF OF ACCOUNT 201 334854 OOOoDWIN KAROL 0 g B0bU1JEgfN A 4/22/89 10/St7/82 46.00 jGNTONENUE D 0214 TX 7620t tlE0F17RDL5 OR TX 76DR1 No response t0 Collection efforts, 201 420904 00PORTH TRAVIS OOFORTH i EOI St4ADY SHORES N2~ CHARLOTTE 7/01/82 10/27/82 38.00 9 201 SHADY SHORES 022 i BAKE CALLA TX 75067 LAKE DALLAS T% 75067 No response to collection efforts. M, 701 348896 Ol+l , ASHLEY ODIN (JOEL 7/31/82 10/27/87 46.00 - CADDELL RT I BOX 5-0 T% 76287 AURREY TX 76227 HO response t0 collection dffOrts, 5111 276469 11RLL19A ODIN NOEL .o :ADDELL RT S any 5-0 ft/07/81 if/10/8l 10/77/82 30. 93 AJ AU6RHY TX 76227 AU9RtY TX 76227 Arrangements not kept, 202 36694'! M: 11AROARET IJS2 MAROARET 1/17/02 10/27/82 132.25 fyj Up0p9 qRK LANE NAM 1711 DCNTON TX 76201 NAM TX 76201 No response t0 Collection efforts, 202 228916 0 N2gAELMC PRANK G1OqNqZALES FRANK 7/09/82 10/27182 94.00 DGNTON KtNNE1' TX 76201 DENTON MCKINNEY TX 76201 Movedf left no addrass, 101 416099 24 1 8TELLA N13 JUAIJ 2121 ASTELI.A N15 JUAN 8 6/17/02 6/21/82 10/27/92 131,51 DENON TX 76801 D NTON TX 76201 No response to collecti011 efforts, 101 401516 00142ALH2 DENISE 0 NXAL52 MICHAEL D 5/27/82 5/29/88 10/27/87 54.00 d LOMUST' 5 LOOCUST ARNOER T% 76266 BANOrR TX 76266 Arrangements not kept. 201 447367 `O`~pNpZABLTLLA 430 ' FRANCISCO 03036gg2AIST~LLA N10 FRANCISCO 9/17/02 10/27/82 101.75 Or, TON TX 76201 DENTON TX 76801 No response to Collection efforts, 202 39664 0pUD CLINTON OOOD CLINTON 17/JS/81 10/27/92 S58.00 $Dl CUR DELL 8011 COROELL NTUN TX 76201 DENTON TX 76201 No response to Collection efforts, 201 413716 g00DMLApID.DOX TROY gOJD9A~DUX TROY 6/09/82 10/27/92 41.30 OENTON TX 76201 DE TON T% 76201 No response to collection efforts, 101 364331 OORSLINE JACOUtI I14ti OOROLINgg `Ii OT DAVID 1/02102 1/09/82 10/37/92 221.00 919 1/2 NORMAL WYATTS MALI DO TON TX 76201 DENTON Tk 76201 Arrangements not kept. 101 117267 GOVEqq 4 7 tIlOHLAND OLDRIA 4D~EpIOHLAND JtlBE 11/2q/81 12/02/81 10/27/92 206,15 D WON TX 76201 1) NTON TX 76201 Arrangements not kept, i.u i > a DAYS 10129162 10:01: F L 0 W h E M 0 R I A L H 0'8 P I T A L PAOE 12 ?Rl BAD DEBT TRANSFER ffPORT FOR PERIOD 10/01/82 THRU 10/31/82 cc PAYIENY JUMppggK xxxxx PATIENT ,ST *ZIP »**xADDR, CITYYiSTAMTIP*»» ADMITTED DISCHARGED WRITOORF OFDAACCbUNT ?S PFX -MD E ADDR CITY. 87, 202 234021 OtlIJCR ppHH i MARV, OCR TEP#{gNfl 8t MARK 5/24/82 10/27/82 40.75 2A1jKE8DALLA98 Tx 75065 LAKE OALLAB TX 75065 No response to collection efforts, 1 202 44757'5 ffi4~ ML DELIVERY , CAROLYN 76201 01~~AML DELIVGKY r JAMES 70201 Unable 9/1 8/810CatO, 0/27/62 39, b0 zt N la 208 280040 JAgQAHAg1 KENNY RRAAHAR1018E TAMMY 7/31/68 10/27/02 36,00 9N7ONaE TX . 76201 P6NT01J TX 76801 No response to Collection efforts. r 201 394973 nAHAMNTtlN TAMMY fJ AHAM TAMMY 4112/82 10/27/02 911,55 4 4 ROSE ROSE TX 76201 9D NTON TX 16201 No response to collection efforts, f>~ ~ tol 374678 ABR7AHAM VtCKY AGglgA6&HHNNAM tln MATT 2/08/tlA 2/14182 10/27/82 545.00 TX 76265 No response to collection efforts. S~ EAIATRJODO% 1a TX 76265 6 1NFDJOOK APT N21 6112/02 10/27/82 113.35 201 414284 1Ol;;RAfHjL ~ CHARLES ' FR18C0 Tx 79034 Movedl loft no address. 102 297606 nAMMEpp pCH 8T ALISHA P Aillm x374 D801119 L 11/05/61 1t/10/81 10/27/89 148.17 I,AK9 gg0XLLAO TX 75065 LAKgK IgALLAS T% 75065 No re1POASe t0 Collection efforts, 102 225854 AURR6Yk 41 JUBTXN QQp10 70801 RAUD2EY09 41 DE79Y 76801 NO responSSB to 101 8Cta0n effort 7J82 302 47 203 999,154 RR,AVj% or CAROLYN RRAVSFYBtl% OF CAROLYN 8/0x162 tO/a7/8a 63.75 AUbR Y TX 76227 3AUbRUEY TX 76227 NO response to Collection efforts. 1106 ~j 102 249928 I4 WOOD DAR7XI;E 76201 D0 CRAYOD 87RErT 807xY 76801 A~'rangemaots not4k pt/8a 10!87/62 .47 NTON 202 394288 CRAYWppgD JASON C3RtAYi+OgD DODGY 5/99/82 10/27/82 85.60 gA4TO 7X 76201 ABNT~N T% 76201 Arrengamants net kept. y~ 203 340059 ltf~nystopNkRUODELL APT "18VINT SRbbDE9gNVILLA06 EAST NaOnN 2/t7162 10/97/e2 40.00 0Dg?OA YX /4201 D6NYG11 TX 76901 he response to Collection eff0ts, u Rol 391940 OiRaq tJMCDBNALD EDWARD 1ORBQNMCDbNALD ROSE 4/02/6R 10/97/69 40,00 DCN ON TX 76201 D&N 014 TX 76301 No response to collection efforts. 12, t ,1 .r A PATE 10/29/92 10,67: PLOW is EMOR I AL HOBP I T A L PAOE,!3 ~ DAD DEUT TRANSFER REPORT FOR PERIOD 10/01/82 TIJRU,10/31/6211"l PATIENT NUM09H ~4+aa PATIENT VAMgg tia+IP a PPX NUMBER ADDR, CITY, 8T, 2 aaaa+ OUARliNTOR NAVE aaaa r pr a C _ -y" -ADDR, CtTY,BT, ZIP ADMIITEU pIBCNApOED WP TeOFF OFDAACCtl5NT ' 201 413344 PREEN ~1" - M1 b C RROLL 040 ' KEVIN GREEN KEVIN + 416 6 CARROLL 049 6/08/02 10/117/02 ,y D•NTO TX 76901 DENTON 0.00 201 404784 RTEEIJ D0k a3 fX 76201 Unable to locate, 22 , HARVIlJ OItt:EN , MARVIN AU AY R 2 BOX 43 D/28/9a 10/27/82 44 $0 ` TX 76227 AUDREY TX 76227 NO rosponso to C0116CtfOn efforts, 201 470499 2p2p9E N VARY ORECIJ p7N OCAPRICORN I•;HP 049 RT CAPRICORN MHPN4gAMON 6/30/02 10/27/82 1 TX 76801 DEN011 168, 70 201 366593 qE N TX 76201 Arrangement's not kept, gg M 111CHAEL GREEN CNT ONCtlONALD gg MICHAEL 1/08/92 T% 76201 DENTON000NALD 10/27/82 31.90 208 199307 ORCENgqTLAB REBECCA GREEN RONX 76201 No response to collection @fforts. 1~~NJON IR61 ATLAS 8/08/82 10/27/82 82.00 t TX 76201 DTTEI~TON xx TX 76201 Unable to locate. 102 277149 Opel V[NEpO FREDERICK 76091 OAAfEVINE20 FREDERICK 7/07/81 7/13/81 10/27/02 1727.4$ NE P 201 392930 UJoppptl~2 TX 760$1 Arrangements not kept. 863 R08A 2 gRLINGTON DR DALLA S gGRAY ROSA 4/04/8x2 10/27/$2 43.$0 TX 79239 DAI3e ARLINGTON DR 101 399170 ONoAT`H`OUSE LONETfA RRRX~AT AS TX HOUSR WESLEY 79239 No 4/25/82to 04/27/802 off10/27/02 447.90 6ANfl!# 33t` rli TX 76266 9ANOFp TX 76266 NO response to Collection efforts, 201 370299 QQppQ00g,11O JERRY QROEN 0 ,J DRON ON TNINO RT 4 DO% 168 RT a ADX 168 GROENIIJOERRY 2/20/92 10/27/92 28.00 X11 TX 76201 DENTON TX 76201 No r'9SponSe to Collection efforts. 1 72173 OR0 E 14ORDERTA ppGRRrO E CrGiJTONOX 148 TN 76201 UENOIJWIN LAKES N149DAVID LSE 9/31/82 10/2'/,/82 72,00 701 406839 ORU 0 TX 76201 No reaponso to collection efforts. 990 CASTLt COUHT4 GARY LA0 bALLAB TX BRE04DCASTLg COURT ~ GARY 9114/89 10/27/92 39,00 79069 LAKE DALLAS TX 79069 Arrangements not kept. 201 304643 ppORUNDFN PAUL ORUND DCNjDNT WORTH OR OS70 TX 76201 D9000 V WORTH DR 0t70AUL 3/1018p, 10/27/82 41.00 201 409409 ODU5ANCRO AUDREV TX 76201 No response to collection Offorts, FGNTONDUIBE APT 3h CO-RRIlE,,OUSBE APT 38 AUDREY D/16/9R 7X 76201 DEN?ON 10/27/22 30.00 TX 76201 Unable to locate, dl i r. 71'1 • n • r };q. r. i~ a s,kG- 1 <'v~. , @ 4'NJa fSrTlM+ WfJj~: i a 1 DATE 10/29/02 10:01: F1_OW IIeM01 A I AL H00P I T A L PAGE 14 DAD DEDT TRA148FER REPORT FOR PERIOD SO/01/82 THRU 10/31/02 PATIENT NUMDEH ■4444 PATIENT NAME 4444 4n14► GUARANTOR NAME 444r OATIt DATE ppAttt OF 'ALAN E lilt PFX NUMBER ADDR CITY, ST, 21P ADDR, CITY,87, ZIP ADMITtED DISCHARGED WRITEOFF O. ACCOUNT 101 386044 pHAOKEOO,t 93 ItARTIN HA0 noXX 33 MARTIN 3/lA/p2 3119/82 10/27/82 337.74 VALLEY VIEW 7X 76272 VALLEY VI&W TX 762712 No response to collection efforts, 202 394049 HAKA JOHN HAKKpA 1601 ROCKHILILE¢LOis 3/16/92 10/27/80 1369.80 DOW IF X 76230 Arrangements not t :pt, 201 397749 HDApLLJf TIFFA14Y HALL d , JAMGS 4/20/82 SO/27/82 86.90 70G18JTdNtJO TX 76201 7DHNTONNO TX 76201 No r^sponso to collection efforts, , 201 418046 8HgAA L STELLA N122 VERNON HAL ATELLA N122 , VERNON 6/23/82 10/27/82 38.00 DGNTON / TX 76201 OT TX 76201 No response to collection efforts, t(i 201 394194 HSMMMEROHI7 pAMMFH ' JANA 4/25/82 10/27/82 57.00 OHGNT N E, LOOP 288 A d 4; 76201 T W THbg04 TX 76113 No response to collection efforts. 201 410109 3NT~ 102INOO ' 1111-01191) 76801 A2NTOO 2ING0 t1I TX Rgn 7620, No response 5/29/02 to collection efforts. 61,00 t'p 201 378919 3AMP6pTOND 0 LINK ' 11ARY 3H3OAoppMPPyTOOON O LINK JO ANN 2/21/S2 10/27!84 44.00 'UNION TX 76201 RMON TX 76201 No response to collection efforts, IOS 354902 HANDEL ri{EL2fA HAND6i DENNIS M 9/27/82 9/29/82 10/27/02 909.1' 110 DRdWNNOOD ly0iBDRtlWNWtltlD 'R 1.GV1 AVILL2 TX 79067 LGWVILLE TX 70067 Arrangements not kept, 202 329334 HANSEN PATTI 14ANICH , PATTI 7/17/82 10/27/02 18.00 611AIYY I:HOR88 APT a8 AHADY AHORES 020 LAKE DALLAS TX 79060 LAKE DALLAS TX 79069 NO response to C0110010n efforts, 209 71126 HARDY JAH f ~;t 160, 80 O t b9 Rl1DUELL N21 TONRVDD9LL#9I TX 76201 DE 1g~ NTt76gYy N JA TXB 76203 No re6/19/82 sponse to collection efforts. 102 2602,13 bHbARGRROVE JOHN bHbARGROVE JOHN 10/02/81 10/09/81 10/27/82 997.99 ~ GENTONODLANU 7X 76201 dENTONODLAND TX 76201 No response to collection efforts. , 802 268243 IiA`RGROVE JOHN bHbARGROVE JOHN 9/30/92 10/27/82 37.29 V NTONODLAND TX 76201 DENTONQOLAND TX 76201 NO response to collection efforts, 203 268943 bHbARGNRfo~tlDLAND JOHN H6yANOR00DLAN0 JOHN 7/24/82 10/27/82 41.00 OENTON TX 76201 DENTON TX 76201 No response to collection efforts. i I L 4 R I 1, 4 f 1 DATE 10129182 10!07: r L 0 W Il E M O R 1 A L H O B P I T A•L PAGE -~15 UAD DnpT TRANSFER REPORT FOR PERIOD 10/01/82 THRU 10/31/82 PATIENT NUMA((':'R wnpa+ PAT IGNrr IihME' ++rr n4raa ppVAHAIJTOR AME 2222 UAT DATF. DhT-OF BAACCOU ISCHARG AD R, CITRBNANfi,, ADMIT ED DE, W .f. PFX NUMOEfi ADDS, CItY, 8T. Z[P D ED WRIEOFF OF ACCOUNT 7.04 36806 HrA)ANAdX 631 ' 13HELLIA FRi R4A~ON 631 r SHEI.LIA 6/30/02 10/27/42 94.75 pGpNTtON cc TX 76201 0 NON TX 76201 No response t0 collection effort. ji got 401201 bDXR996b 21 LAKEVI~WRVL ppIRgy6 ,121 LAK61aw HARD 5101/42 10/27/02 41.00 LAKE OhLLA4TX 75069 L E DALLLAS TX 79065 Noy^pspnrsC W Collection efforts, Sol 34686 HARRIS JOSHUA Hg41RRI9 JOE 7/19/81 7/15/81 10/27/82 82,45 2._5,0 COLLEGE PARK fX 76201 DJNIdN LLE011 PARK D 14 ON TX 76201 Ho YespOnsO to C01100t• .,forts, 201 2130706 HANR 8qN BRENDA H~RRIOON , PATRICK 7117/02 10/,27/82 169.60 9 tl t9 aHARt.EB 827 P 006 952 LG11tBVILLC TX 75067 L WtS1LLE TX 79067 Unable to locate. 201 427009 11p,ARRIBCIJ~~{{pp JOHNNY HARR0pI80N , All 7119/02 10/27/02 90,75 1 L131gW VjEffLEB 4101 TX 75D67 LLNISVILLBRLGB @101 TX 7S067Movedi left no address, 60. 7q 1 p pp 201 372050 1Aj2gR~110DELL ArT SolARr% 76201 pHHeANOFX 929 CARL 76266 No r spanso 2 LO co11ec91on effor 0ts$7/e~ 201 441709 HG11N4LTKIIN9 qq.pp AMES HAAgWK(fINB JAMES 13/31/82 10/27/0.2 112.40 fCN70NlLE BROOK E97 TIN 76201 OENTdfdTLE DRtlUK ADAITI~X 762010nable to locate. 72,00 386417 RANXINSX 119 ^ON H~WKIWS RON 7/19/82 10/27/02 ,00 p00 ArT BOX I I 8 AROYLG 1TX 76226 AROYL1F TX 762R611ovedl left no address, 201 422030 HHgAAvYqy BOISE AVEIUts 1WAATER H& 5 BOISE AVE WEST WALTER 7/09/82 10127/07 157.70 DJ[OE ID 0 I101Re 10 Moved; left no address. 101 394296 F.IALYBOX 6 OVn ALD pHEALY BOX 6 OERALD 4/11/82 4/19/82 10/27!0^2. 395,07 AUM TX 76249 NO response t0 CO11eCtlOn efforts. Kh & TX 76249 K'd 7/26/87 10/27/82 38.00 102 289678 IIpN{Dfiq14 ON JEtlBICA HBaxD~~60N , JEFF CJ'J. T TX 76247 BOX 644 TX 76247 No response to c0110010A efforts. f~I ll JUST:Iq 11/29/01 12101/01 10/27/02 102 314429 rl~NAGROXN126A BTETXN 76259 PgNt1E0 XNI.6A STEVE 0 0 076259 No response t0 ColleCt1oR efforts, 309 37 207 169711 1H N'OOR1 K9 SARAH HENORI KO LYDE 9/30182 10/77/82 tb.00 AGNTON~LLAOE E APT lotTX 76201 17NT)ViLLAGE E APT 181TX 76201 he response to collection efforts, ~LJ : ' Iv~,4 M r1. 1 I DATE 10/29/82 50:07: F L O W IS E M 0 R I A L la 0 9 P I T A L PAGE lb DAD DEBT TRANSFER REPORT FOR PERIOD 50/01/82 THRU 10/31/82 wakat GUARA14TOR NAME trot DATE DATE DATE OF BALANCE PATPFxIENT NUMBER IJUMDEH ttr►t ADOR PA,TICIENTTYNAME .8T. +24 I t P ~ADDRy C1TYY8TyrEIP ADMITTED A18CIIAROED WRITEOFF OF--ACCOUNT --81-, -Z- _ yr +Y :g 50.00 101 387886 HHb,NBLgf: . L•NRIbTOPH!• HEN9LFD , GARBLE 3/19182 3120/88 50/27!92 9310 PRINCE 9313 P INCh Arran emonts not kept. LAKE DALLAS TX 7$065 LAKE DALLAS TX 75065 g 1 1 240960 IIC7•NIgjMN 11ARY HENDON % JAMES 7/!9/02 10/27!87 23.00 LI T LBOY LM18 TX 79065 LITTLP ELM918 TX 75068 No response to collection efforts. r HERAW,O AWL 4/28/82 10/27/92 77.50 400473 HiRR tN& PAUL h OT 201 nENTd~, T 30 Rb1'h1 OAKBTX 76201 DENTONOT 30 ROY,4L bANBTX 76201 Unable to IOWO. l~ 104 99007 HptLLgLLIAARD BEVERLY HILL,IIAMD JOHNNEY 2/21/82 2/26/92 50/27/82 516.00 TX 76201 No response to collection efforts, 1.13. I NT1VIE TX 76201 DENTtlM III E { A BONNY 7/28/02 10/27/82 42.20 202 432391 H UI STDt LLA 07 RdNNV b2 ii'A CK7 ORY 027 J¢ BT d~ N ON TX 76201 N ON 7X 7620f No response. to cO11eCtI0n efforts. / 101 399626 H,ILLIOAS tstLLIAM H L10Agg WILLIAM L 4/26/89 4!29/92 50/27/02 249,89 pp 3 BOX 360 1AK1 LAlaVIEW CR N110 O. TON TX 76241. LEWISVt LE TX 75067 No response to collection efforts. IY 1 432049 ORFMAN . TINNA t40FFMAN 3400 ' TtNNA 0/04/92 10/27/02 40.00 pHT 2 OX 3400 TT F'ittaCd TN 79034 RS Cd OOX Tx M34 No response to collection efforts, fjf g p gg , FELIX 31121/81 tO/27/92 $4,50 203 69542 HOL RN1dNTSLLA 0120 EUNT%S 76201 D.III9TELLA N1?O i GGGMTCN TX 76201 Arrangements not kept. , lOl 3841018 H~aLLOW80 JOHN HU7LLOIJSO . TIMOTHY 3/11/12 3/14/82 10/27/82 199.05 IidbA 7X 76271 T1Ch Tk 76271 No response to collection effortt, 102 376368 HOLMAN PATRICK RHOLMIAN , PATRICK 7/10/08 7/13/82 10/27/82 985,00 DGNTONOX 22 DMI:P TX 7G20f RSNIONOX 22 ~MM5 TX 76201 Arrangements not kept, n D t Vot 433375 1IdLE , BTEVBN HOLE , OTEVEN 0/09/02 10/27/82 38.00 p tl BOX 841 p 0 BUX d4l LANE DALLAS Tx 79065 LAKE DALLAS TX 70065 NO response to. collection efforts. n~J 702 3171.31 Yi PK1N8 CYNTHIA HGPKiNB CYNTHIA 5/04/82 10/27/22 59.34 3 5p pALLMEADOII 279 3U10 FALLMEADOW 225 D NTpN Tx 76201 DFNT014 TX 76201 No response to collection efforts, '203 422295 10 CHY~pJJA JOHN Htlggp043pp M AB JOHN 8/19/82 10/27/02 337,65 l0[sADAIA.LAB 7X 73065 TAKE UAELAB TX 75065 Unable to locate, ry+ W Y I 11 ..rte... l a DAT5 10/29/92 10:00: F L 0 W H IF M 0 R I A L H 0 9 P I T A L PAGE 17 DAD OrRT TRANSFER REPORT FOR PERIOD 10/01/82 THRU 10/31/02 PATIENT 14UMBER r*q** PATIENT MAI4E 44** GUARANTOR NAME DATTE GAxxgg DATE OF DALANCE PFX 14UMBER ADDR, CITY, ST, 2IP ADDR, CITY,81, ZIP ADM] 'r p1BCHARGEO WRITEOFF OF ACCOUNT /.J 201 418541 HOUSpEN EDVA HOU20EN EDNA 6/25/92 10/27/92 60.00 R 2 CAPRICORN ^HP Ott ~T N10 CAPRICORN MHP DENTON TX 76201 R~EJJNTON TX 76201 No response to collection efforts, 202 284760 H8DAOpCpHpTNWORTH CR LOTO611.0 R800CHTRWtlRTH OR LOTRONALD 7/06/8? 10/27/82 49.60 OMN7pN T% 76201 DENTON 61 TX 76201 NO response to collection efforts, 202 80226 HUD2014 JIM14Y HUDSON JIMMY 7/06/02 - 10/27/82 18.00 a 931 rRAIRtE 931 E PRAIRIE VENTgg ER TX 76201 DENTON TX 76201 No response to collection efforts, 17/ 201 A37333N3BNOX 94 JAHT% 76901 DNTOaOx 94 JATXS 76201 Unable toB ovate, 10/27/82 38.00 T 201 418699 gHgpUpROgg CI{ERVL N~~pg CRAWFORD FIERpERT 6/25/82 l0/27/82 38.00 1 DENTONCNAWFORD TX 76201 G TON TX 76201 No response to C0110CHOn efforts. 101 409094 HURD OE14ELL Hg qg0 OENELL 5/26/82 5/29182 10/28/82 173.15 302 RUTH R M RUTH D NTON TX 16201 TON TX 76201 NO response t0 Collection efforts. Sol 162313 INCE BRUCE tNCE CFIARLENE 3/25/110 3/20/90 10/20/82 186.60 501 LONDONDERRY 07/ 5p1 LONDONDERRY R77 DENTON T% 76201 0ENTON TX 76201 No response to collection efforts, t~ 201 4PO216 RRINNTOR,{A~0T 86 EXECUTIVE TYYP RTORAM T 06 EXEC MI{PDANNY 6/29/02 10/28/02 75.00 PINYON T% 76201 DENIC'N TX 76201 No response to collection efforts. 102 339620 JOHNSON JANE ~ONNAEpNDNpgpffWWO DAVID R 3105/82 3/07/82 10/28/82 569.06 OAtNBBVILLE TX 76240 OQAAtNE8V1LLE TX 76240 No response to Collection efforts, 201 390707 JONE9 RACHEL MCDADE HAZEL 4/14/82 10/28/82 f6S.50 1O4 f, RUDDELL 05 104 S, nUDGELI No I R' TX 76201 RENT(% TX 76201 No rasponso to collection efforts, , ;02 378200 JbUpARGggg2 , RAYMDNn R1 AREZ LYDIA 3/26/02 10/29/82 147.50 L' DCNTONRUDDELL h5T TX 76201 DONIONRUDUELL N57 TX 761101 Arrangements not kept, 201 387183 HCLLE EDWARD HrLLEyy JOYCE 3/17182 10128102 95.50 720 PXRSILANE 7~0 hANRLANE K0.N9gI'gN 11 TX 76201 DENggTON TXPp 76201 NO response t0 collection efforts, 10/ 202 300097 RGNTOMU7 61 81LVUR oOM%15976201 DGNTONOT 61 SILVER DOMEXMH762o1 No reslponsOO to Collection efforts /82 30,00 ~f ' a ' r •~l . ll DATE 10/29/92 10:08: F L 0 W 1{ E M 0 R I A L If 0 8 P I T A L PAOE l8 DAD OE01 TRANSFER REPORT FOR PERIOD 10/01/02 THRV 10/31/82 PATIENT NUMppEH w.~rr* PATIENT 1l4ME **II* OUARANrOR NAME *A** DATE DATE DATE OF DALANCg PFX NUMBER _ ADDR, CITY. ST,yZIP_ -~r VyV yADDR,4CITV,ST__ZIP-~-rr- ADMITTED DISCHARGED WRITtioFF OF ACCOUNT - r 203 178541 KRAONorZ CAROLYN KRgANTZ CAROLYN 1/04/82 10/28182 1112.09 DCNiONHARLE9 TX 76201 DENTONHARL88 TX 76201 NO response t0 collection efforts, l 396119 LLAW[ENC OI PAUL gWRE14CE , PAUL 4/20/02 10/21182 130.40 r'1 pp ~~ii ~tl [!OX 5tll ,1 tN T% 76247 J S IN TX 76247 No response t0 collection efforts. 201 3961t9 LAWRpCpNNpCE PAUL LAWqRpEpgNqCE , PAUL 4/t5/82 l0/28/!:7 66.00 r.5 MTtN' 501 TX 76247 JUBrIN% SOf TX 761247 No response to collection efforts, 702 270140 LITJjPAOG LARRY L TTLFP002 LARRY 4/03/12 10/29/82 Rf OX 43 AT 2 DO 4U 49,90 AV9 E TX 76227 AnUDREY TX 76227 No rospenso to co110ctfon efforts, 101 359893 pLOOP;i2 BRENDA ~pPEz 7 JAVlr%R 4/05/12 4/t0/Pi 10/21/12 24gq,85 1 l.tTlltfLN FLN T% 79065 LgLYiiN3TTCLF LM TX 75069 Arrangements not kept. 101 109221 YNCH 1 13TLNOP 288 APT 1-4NTX 76201 pjy T& OP 28W N1-t4' Ba7XY 76205 Arran 2/21/01 not kepti8l 10/26/62 3381.52 101 392391 MAKIOIRR ANN M``33AKpOpR FREEMAN 4/04/12 4/06/02 10/28/82 953.25 d~) AVE DMWTOA N 19 TX 76201 1pV1NUATV DR N220 TX 7,4061 No rosponso 1 ,011gotion efforts, 205 220394 MggqpSONo JEANINE MppASpppptpp! JEANNIE 4/18/62 10/29/82 1071,60 ~J DGNTON 1745 TX 7620t BIN 1799 TX 76201 Arrangements not kept. 2 363416 MOpATTIOI~`UJ140 CAROLYN MATU0THEbW~0tBx DENNIS 0/13/82 10/28/82 165.30 LtiW16V1LLG0O0 T% 75067 UW[9VILI.ESbOI TX 75067 Bankruptcy 1 21173 MC~[CARtY FRAN%6174 2Np00p0ARTY FRANKLIN 2/16/12 10/28/82 1150.62 DG NTON NOEN TX 76201 DEMON ELM I TX 76201 Noted; loft no address, ".101 387423 MOpCOtRlAggTH gg , DONNA MCO1ATH R DONNA 3/18/82 3/20/12 10/29/02 191,18 LhkRODALl3p8 TX 75065 LAOOK ODARA31 TX 75065 No response to Collection efforts. 1 11783 MCINTIAg CHARLES J M¢INTIRE , CHARLES OR 1/16/82 10/29/12 $27,64 Pp 50% 963 Pa ooQ% 963 SANOSA T% 76266 9ANU-R TX 76266 No response to Collection efforts. 203 218818 MILES MM THEREOA cpMppILEENS tt'' CLENON 2/17/92 .75 DGWTONhCDONALD 10/21/82 40 T% 75201 SR'VN'VILLgLAOE NCl TX No response to collection efforts,, 1 •7 Jl J 1111:' w; u ~t DATE 10/29/02 10,08: F L O W It E M 0 R I A L H 0 8 P I,T A L PAGE 19 t DAD DEBT TRAIJBFER REPORT FOR PERIOD 10/01/82 THRV 10131/82 PATIENT NUM&p8( rr444 PATIENT PAME 2444 ar44a QUARANtOR NAME Marty DAT ppATTgg DATE OF BALANCCgg PF% f4UMREf4 ADDR, CITY, at, 2[p _AD➢R. CITY`BT_r2IP » ADMIT E➢ D10CHARGEp WR1TEbFF OF APHNT 101 397093 MILLER upDJt;e MILLER , JAY 12/09/tli 12/I1/81 10/20/02 3038.10 ~i 0 00% 106 DOlIATIuIJ P.01 BOX 106 DONATION kept. 101 372540 MIDMDeAg , LINDA 76271 TIOGA LINDA 76271 hrr1 231/n0t2E not2/03/82 10/28/82 499.53 ~ to NTbNRUDbEtt M35 T% 76201 DE91014 RUD0ELL 933 TX 76201 NO response to collection efforts. CC 4 f 201 394486 Fi41CMELL FREDnICK MTTCItKLL , FREAR[CK 4/11/82 10/28/02 84.00 I 3 nu TN 3 1 RUTH D,IJTON IX 76201 DENTON TX 76201 No response to collect-Inn efforts, ~I l01 399616 11WRE DENNIS Jx Vona DENNIS an 4/14/82 4/17/82 10/28/82 077.49 RT ➢OX 179 NET I ➢OX 179 AUDREY TX 76227 AUMY TX 76227 No response to collection efforts. 201. 396499 MROnE DOUQLAS ALLEN OENE 4/l6/U2 10/20/02 197:00 407 Y WEAV~/ER 42 14 WEAVER { OAIN„9VILLE T% 76240 0AINE9VILLE TX 76240 No response to collection efforts, 103 70943 5,3n,yn3318g l1CKINNE!' ' OnENDA M2 13 ?RRis.MCK1NNEY MICHAEL 2/28/82 2/2b/82 10/28/82 450.93 DGNIdN Tx 76201 DENT014 TX 76201 No raspnnso to collection efforts, 101 201016 M09ELEY DARREL1 a9 75068 E+.FY JTHN A JR 4/06/81 4/27/81 10/28/82 5797.45 11t1ACW4OD HILL 7x 75004 ?R2OIt4CALNUT HILL LN M1064 Arrangements not kept, y 7X lot 404640 N Otl EET NATHAN MUMMY LA9 ATHAN 5/11/82 9/12/92 10/28/82 78.50 DCNTON T% 76201 DE14Td14 TX 76701 Arrangements not kept. E~ LAS 201 765460 pNgNTON 135 , RANDY NEWTON 133 DL:ITHA 4/t9/62 10/20/82 40.00 KMU11 TX 76249 KRunox T% 76249 No response to collection efforts. , DONNA 4/19182 4/10/82 10/28488 561.10 ~t 102 230239 NKODEHHILLAOE E 010'Q 0CATHERINE Nbb04 IKREH[LLAOE E0102 qq U U11G21ON T% 76201 l~LNTUN TX 76201 No response t0 collection efforts, 01 307597 U0'lEN9 Ii TERRY OWENS TERRY 3/19/82 10/28/02 69. 5o W4ATtlooot RO4 OK 99999 WpAT115NFOgOp OK Unable to locate, +T 203 348870 PADILLA SALV40r 01,81I~LA SALVADOR 4/20/82 10/28/02 28.00 313 SMIN 920 M` SMITH 08 DENTOLN TX 76201 fh0&NTDN TX 76201 NO rOSpon10 to C011OCtion efforts. 202 236309 „',tF+6nROX 206 2TAT%F 76201 DGNTOJI2ELD 06 JATXT 76201 No asponse2to Collection effort 28/02 38.00 ~C T N f E r~~~ I ~ r 1. DATE 10/29/82 10:00: F L 0 W rf E M 0 R I A L H 0 8 P I T A L PAGE 20 / DAO DEUT TRANSFER REPORT FOR PERIOD 10/01/62 THRU 10/31/82 t PATIENT NUMDEH Mrwwe PATIENT 11AME a+la ***m* ARA1J70R NAME I DAT~' DATE DATE OF BALANCE 7 PFX NUMDER AD DR, CITY, BY, LIP --__+,r ADpIlCITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOUNT r1 201 396390 P8~LEY4 , PAUL P LEY , PAUL 4/16/82 10/28/82 70.90 [r71 IL12 ELM TX 79068 LI TLF4ELM T% 79068 NO response to collection efforts, 201 264929 POUNDS ARLENE D~pJNDSg g DANNY 4/18/82 10/28/82 36.00 OGIJTtlNX 262 TWIN LaHEBTX 76V01 ONAIPO INTNCA NTO Yb CA 92629 No response to collection efforts, r,.y l 379883 POISE JAtJET PRICE ARK 2/29/82 10/28/8.7 40. 90 P D X 31 1 p2OIM98T SANGER TX 76266 9ANOM TX 76266 NO response to collection efforts, 2 V79883 PRICE JANET PRICE ARK 4/03/82 10/20/82 33.00 0 BD% Of 109 SIMS ST SANGER TX 76266 BANGER TX 76266 NO response to Collection efforts. iot 31-,194 PRUETT J AMANDA PRUgCTI , SHERMAN JR 4/14/02 4/17/82 10/28/82 1616.30 bENTONOX 906-0 TX 76201 DEN2DN0% 406-8 TX 76201 Kovod1 left no address. 201 39.11780 CHERYL REBEOpD , CHERYL 4/09/82 10/28/82 93.00 IN U T WORTH 31 TX 76201 g0BNTON WORTH DR 34 T% 76201 NO response t0 collectioo efforts. =ID 203 243"73 ggtl NVIIV11LLEWAY J4fJTX 76240 ' I INWILLOW WAY JOTX 76840 Moved11i0f8t2no address, 10/28/82 44.60 GAILLE AJ aD 1 343649 RC03 RAIIDALL REED WESLEY 4/08/8? 10/29/92 67.40 hN70NAKWOtlD TX 76201 6ENTON1iKWOOD TX 76201 NO respens0 t0 Collection efforts. 210 360321 R~ODER CARY RgCD R CARY 4/09/82 10/i+8/92 38,00 9 IJEOATLENORTH 027 9EONEOATC NORTH N27 L 1419V1L TX 79067 LIIWtaVILLfi TX 79067 NO response to collection efforts, 201 3n797/ R EDY PAUL MOSLFY , SELENA 3/20/82 10/29/92 67.90 `r f Of flPAINOCREBU PIIWY 10 f PRINOCREtK PKWY P~ANO 7% 79023 PLONO TX 79023 Unable to locate, 1 370799 ASN'NlBD!J TORT RENNI80N ED 1/29/02 f0/28/V2 60,81 279O GRAND 1404 GLARE „AINEOVILLE TX 76240 DIDtlL1 TX Vk;41 No response to C011OCtiOn Offorts, 201 394442 YES JULIUS REYEB VLIUS 4/14/87 10/29/92 .00 1109 FAIJNiN 13D.•. "ANNtN D CCC~ NIIOLB1MUO 7X 76201 DEN1'„11N.~ gg TX 7620) Unable t0 locate. Gy SOl 396251 O AIEV1NE421 KiRTX'J/ 76041 GRA PEVINE42t LESLIE 76091 No response, a t0 col4/20102 lection efforts../82 469.90 G 1J ~r DATE 10/29/02 10:09: F L O W m C M O R I A L H 0 ~..C, 8 P I T A L PAGE 2l t"+ BAD DEBT TRANSFER REPORT Pan PERIOD 10/01/02 THRU 10/31/82 PATIENT NUMREU 04404 PATIENT U/41E 4444 44*44 OU14RANION NAME 0000 DATE D^Tg DATE OF BALANCE PFX NUMOER ADDR, CITY, 8T, ZIP ABBR, C1TY,ST, ZIP ADMITTED D18COAT6 D WRITEOPF OF ACCOUNT _.......,4.. 201 391908 R UERTB SHANTE nOgEHTB DORREEN 4/IO/O2 10/28/82 39.00 4$0 8 RUDDELL 40130 2p O RUDOELL.4028 XNTON TX 76201 DHNTON T% 76201 No'response to ColloCtion efforts. 4 339838 ROR~NSQN VIROItIIA R OINSON1) 1170 1415 p LAWRENCE 3/2M1/82 10/28/02 69. b0 1'70 lJ B TER I A 904 la 18708 1 A i-- DEN ON TX 76201 I~ENTdN TX 76201 NO response to COllaction efforts. 101 308633 R1O1$BON RODDIE ROBSON ROME 3/13/82 3/15/82 tO/28/82 940,40 DGNTtlNMULDERRV APT C TX 76201 D NTpIJMULBERRY APT C T% 76801 Unable t0 locate, 101 386706 AD3RIOAWPORD JEAN RpN1COU56 D , 11AURO 7620 4/27/82 5/03/82 10/29/02 2036.63 1 DGNTSN TX 76201 GG 00 1 Arrangements not kept. 201 394205 ROD11:0UE1 JUAN RggRIOUEZ JUAN 4/31/82 10/28/82 81.10 15 AVE, 0. Mi19 1155 AVE. 0 4I19 GiNTON TX 76201 DENTON T% 76201 lieved; left no address. 205 131700 SAMPSON 11gRRY 8gpAM2gPSON 11gRRY 3/02/82 10/28/02 104.60 Vs DENTON07 49 LAY.F v110R13TX 76201 DENTONgT 49 La;(E SHORE TX 76201 No response to 40118Ction efforts. 204 161026 SANDERS DON ITA SANDtHS MICHAEL 4/11/82 10/28/02 107.60 1 pp R 1 Box 773 OANOER BOX /73 TX 76266 9AN0EH ix 76266 No response to CO1)OCtion efforts. 1 201 394036 8,4MOFRS , KATIE Sff)CFQ RICKEY 4/10/82 10/2$/02 SS. 50 102 E OROVE DOX 37/ 102E RpVE BOX 377PILOT PT T% 76258 PILOT DINT TX 76258 No response to C0118Ct10n efforts. 201 389007 SARABANDI ALI SARAOANOI AL1 3/23/p2 td/28/82 50.75 N. T. P. O, BOX 12759 N• T. P. O. BOX 1?759 D6NTON TX 76203 DENTON TX 76203 NO response to collection efforts. 201 388298 SELBY , IIANCY BELOY , NANCY 3/2l /Se 10/4/92 63.60 lU 1.15 VILLAOE E DR AP fOa 1711 VILLAGE E DR 102 DENTON 7% 76£01 DENTON TX 76201 Unable to locate, '01 264119 91IRPPARD , DAVID SHEPPARD NN DAVID 2/07/81 2/09/81 10/28/82 93.50 EPA DMOD9 LN 4064 TX 70067 LEWISViLLBDB LN 06~ T% 75067 Iloved; left no affdress. 207 271767 SIMB TASITHA SIMS RICKY 6/04/02 10/28/0;2 82.75 ~ 230 T WORTH OR LOT 31 00 FT WORTH LOT 51 DUNTOW TX 76201 1NTON T% 76201 No response, to collection efforts, 200 271%67RIMS 00p% 415 7ABITHA 282gg1M4 RICKY 6/29/82 10/20/82 40.75 8,140388 TX 76266 E200 FT WORTH LOT 01 T% 76201 No response to COllOCtIOA efforts. Y ~t 1,1~t T It 1 1• {i . 14V - PAGE 22 b3J DATE 10/29/$2 10100: ^-FL OW II E110R 1 AL H08 P 1 T A L DAD DEBT 7RANBFER REPCRr FOR PERIOD LO/01/82 THRV 10/31/82 NUMBER x+xxx PATIENT NAME 4410 ***41* GUARANTOR NAME 00x0 DATE DATTE DATTFVyOF --BALANCE PATIENT F"y P PATIENT _ADDRj CITY, Or, 21P ADDRI CITYIBTI_2IPV ADMITTED, DISCHARGED WRlfEOFF OF ACCOUNT 4106162 10/29192 38.00 201 39x161 pM, ISOX 222J ` KEt1NETH RT 2LDOX 222J ' KENNETH H9 AUDRY TX 76227 AAgUDRRTEY`` g TX 96227 Arrangements not kept. 201 343330 IMIT8 LOT"4b0UTX 79047 LAtEi6U6ALLA8HP LOT 4bDOTk 79047 4107!82 10/2$!82 62,90 DENTO N J, HOved3 left no address. E~ ri1 g A RV l X404 99483 RT11ApOX 2 RANCt1 EgJ, 9~ SMITH OX 2 RANCH EbTAOIiNNY 2/09/82 10/29/92 8$.00 TX 76201 DENTON BTX 76201 NO response to collection efforts,. IIICHAFL KIRBY , CALEEN 4/19/82 10/2$/97 99.00 204 326749 B AFFORD 319 JA009 3L9 JAOOE TX 76201 DENTON TX 76201 Unable to iocate. 62 p •NT N pp pa gg tXt 9y 202 371699 RINgS,LU~B/p,ODU~< JANET TX 79069 LA& DXUA932 JA TX9 79069 No response 2 to collection efforts. ~/62 7b.tl0 A DA A 201 379499 OTARK CARL JA $ ARK CARL 2/21/92 10/20/02 1051.00 OX 099 D X 949 NEWARK NJ 94999 N WARK NJ unable. to locate. 10/29/92 63,79 ENrord , ADAM 2/20/92 201 379273 b$rAtt660N ADAM S 11ECLOVER atl CLOVER LN TX 16201 DEWON TX 76201 00 response to collectlon BffOrtsl 77 4/1 205 394320 PC~DO6LZ9409 IfARTX 79006 THt;LOx 904 9 BRTXE 70096 NO respoltse2to collectlon eft ~ts,$/92 33.00 0p9g220o0 T6(r, f(aa}}Sy ~i 201 386710 d51 CNrtlNLR2947 ICLARKJHA M 74201 NOU9rtl8 ATTLE HOTXR 77640 NO esponsejto collection efforrts$/82 36.00 UR 50/28!62 39.70 Rq 6c TT Hy Il~3IIVVTT yy 66 ICt 201 393791 ~AYLQR NORTH ROUt1AV CL MARK f7l.A 7$40$ 38 N,BOCNR[BTILUB YL A% 79409 UneuiO to 4109/82 I 2 OCate, %X p T 10/28/92 49. 9D` 201 398479 P@SgOON 143 209 DE14ION3JAVE 76247 J gpOU ppBTIJ 143 209 DEN70NAQxY 76247 No response to collectlon efforts, , tl 201 392994 Rua-o BOX 14 O1r1TX 76299 PONDE+tli BOX 14 MATXEL 76209 No esponse 2to collection efforts a/R2 G4.6tl r~ 7 201 399426 7 At 11 291 . BONNIw 1RAg1ajWIN LAKFB M261RICK 4/14/02 10/20/02 7,10 D NTU TX 76201 DENTON TX 76201 No response to collection efforts. t 1 J i 1 f it 1 i 1 • - x3 ii DATE: 10/29/82 10', 09', F L 0 W~ 11 E M 0 R I A L H 0 8 P I T A L PAGE DAD DEUT 1RANSFER REPORT FOR PERIOD 10101/82 THRU 10/31/82 yy DATE OF OFDALANC9 OUNT PATIENT Ii,UMDEK *4yrtl PATIENT NN1E +~e>r *#mA* GUARANTOR NAME DATE +.DATE 1JUU ~o PF% MDEp ADDR, CITY. ST. XIP _ AOUH, C[7YY07_JTIP Y ADMITTED DISCHARGED hRITE3FF ACC 201 399697 VAApJOUa 1 STREET OMAR VAgg70EGM 8T. OUADALUPG 4/14/82 10/88/82 31,00 OENTON T% 76201 D8NT3N TX 7b201 NO roSponse t0 Collection effOeta. 101 394393 WADE , MARO Ih WWADE . 11AROIC 4/11/82 4/13182 10/28/82 1019.19 KR TX 76249 No response to collection efforts, ? / a, O.U14 BOX 6 T% 7b249 p 3. KRUM SOX 6 IitCHAEt WALKE MICHAEL 3/22/02 10/28/82 38. 00 207 338917 WALKE 001 474 ~(I POX 474 T% 75068 No response t0 CO110Cti0n efforts, LITILE ELM TX 79068 L17LE ELM 66.00 201 396473 WARREN CHRIBTOPHP WWARRRE'~AqRTWOOD LAWRENCE 4/17/82 10/28/82 i, i EL3PAR0UEW030 CT TX 99999 .014ORIH TX 76100 linable to locate, CINDY 4/t2/82 10/28/87 38,00 201 1 394936 05 fEL CL . CHARLES 05KBELLLAIRE 109 tAIRE OGNTUN T% 76201 DENTON TX 76201 Movedl left no address. , 201 39x803 W TT0 CLINT371 tW~AATHNTtS DOX LOLL CLINTON 4/09/82 10/R8/82 38,00 DL.N 90X SQLO TX 76201 DTON TX 76201 No response to Collection efforts. ~tg 10/29/82 69.00 201 370913 6W~,OATLH~,OOP 280 07 ' CHRISTOPHF WEEqATw:A9 288 07 CHRISTOPHE 2/21/82 04 pCNgCqRO JACKX 76201 ypwDlEIRLMxx JACK 76201 NO 4respo /16/82 to collection Worts, 134.00 201 396309 W?1C FTOWORTHI933 TX 76101 FT0140RTH8933 T% 76101 Unable to locate. 1CKHAM SUSAN 3/73/82 3/30/82 10/28/82 1966,90 10f 384031 W CKHAM SUSAN 626 'IISION KL28WO NION tt TX 76109 FT, w0titH TX 76109 Moved; loft no address. 9 SIL1UrLLLIA?18 ~jgotNlox 9 SII.VF.RDOMELLIAM 4120/02 10/28/82 38100 201 397792 OtR TON p3 0O% t FJ % 76201 WWEE14 TON TX 76201 No response to collection efforts. 9 u01 391631 W1 pgLLIAM? RONALD 4/01/82 4/06/82 10/28182 497.2 LLpp DOX EE [3NViAM3 LLE4 7 JANET LLL % 75067 EWISVILL T% 79067 NO rOSpOnSe t0 01140tiOn effOrtS. 202 89204 Wt0((~LL0p1090N LANK WWOVA ILIpoAt4 ON LANK 2/17/02 10/28/82 38.00 DGNTONI WORTH OR 019 TX 76201 t WORTH DR R19 TX 76201 Ilovedl 1prf no address. 203 37698 p~OOA X 314 ADATX 76226 yA0 OOX 314 ADT% 76226 HD @SpOnSeatO cO1laCtiDR'effOrts ~/82 246.2e yy i1 is 11 c nATE 10/29/02 10:09: F L 0 W M E M 0 R I A L 14 0 8 P 1 T A L PACE 24 DAD OEDT TRANSFER REPORT FOR PERIOD l0/01/02 THRU 10/31/02 PATIENT NUMBER wwpww PATIENT NAME swww s*w+• 0 ARANTOR NAME rwww DATE DATE LATE OF 3ALANC, PFX NUMBER ADDR, CITY, 8T, ZIP ADD R, CITV,ST, TIP ADMITTED DISCHARGED, WRITEOFF OF ACCOUNT - 1 354800 WIRTZ D6DORAH WIR Z MARK 3/l1/82 10/28!02 198.96 1RpM0p ACRIPTURE t`tt3N 1VE D DfeNTO TX 76201 OEN Ot~ TX 76201 No response to collection efforts, J , ! 202 297473 RNWqIFTHEgRS SUZANNF 4R{~~1! 0711"R SUZANNE 3/29/02 10/28/82 38. G11 R NTONSOX 656 TX 76201 DUTON~OX 695 TX 762..01 Arrangements not kept, Ol 390149 VO?LMERRTCN BHARA W1DalvfQ~jOM BHARA 4/21/92 10/28/82 128.00 L77AKE DAEELLLVVA8 TX 79069 LLAAAAALiL.VVAS TX 75065 No rospuse to collection efforts. IS+' POO 214171 RTC ODX 237 CHRISTINA YTETCK DX 237 PHOEBE 4/16/82 10/28/82 113.00 AnO LE TX 76226 AAZZRxMOYL TX 76226 No rospoese to collection efforts, 201 392092 JAMD 2N0 THOMAS 761299 Pn k ON 90 TIM /03182 10/2S/82 108,00 p R NNE TX 76259 No espotse to collection efforts, TOTAL BAD OMDT WRITE-OFF THIS PBRSOD: 96053.09 r j' F L 0 W MEMORIAL HOSPITAL i\ f INANC"TAL PLAN OCTOBER 1, 1980 - SEPTDIDER 30, 1981 r BUDGET SUMMARY Our budget for 1930-81 is predicated on our providing 321850 adult days of patient care, This will average 90 patients per day for the year, which is essentially what we are experiencing now. Cue to the increases in the cost of operations it was necessary for us to increase our daily service charge to compensate for the increase in expenses. Expenses have increased in the form of payroll expenses, and we have projected a 7)1% increase in payroll expenses for this budget year,, we have allowed a 10% increase in supply costs N, the Sarre period of time. With the above projection as it relates to revenue and expenses, we will generate an operating margin of $426,20~- The Depar-anent of Health and Human Services (formerly Health, Education, and Welfare) has recommended an increase in 1980 expenses over 1979 expenses of 13,4%. This is their way of attempting to control or to put a lid on the increases in hospital costs. Our expenses will increase 12,E for the same period cf time, so we are well within the national guidolines. 4`x1373, S~ 9 Our statement of cash, requircwents indicates that we will receive in total cash recalpts $8,965,714 with total. . disbursements of '$4-~j t, and to provide a $200,000 cash balance at the and of the year would mean that we would-( need an additional e;31JC~Qlm et our cash needs to complete the financial plan, , We have included in our financial plan capital equipment needs which total $4459000: Most of the capital equip- ment amount is for the replacement of existing equipment, such as new equipment for one of our x-ray rooms, vinyl wall covering for the cor•.~dor walls, netir drapes, and in some instances to replace some of our fixed height beds with high-low beds, etc. We have not included any cor5idoration frow the City or the County in this financial plan, but we do need i4.~G;3N3 to Complete the plan. Our collections are based on a collection percentage of BOY, of adjusted gross revenue, with charity amounting to $391,603 (4'V' of gross patient revenue) and bad debts amounting to .$658,088 (7% of gross patient revenue). 1 feel that the financial plan for 1980-81 adequately reflects what wo anticipate in the way of revenues, expenses, and capital floprovements, Leonard E. Watson Administrator r Yj d F L 0 W MEMORIAL H 0 S P I T A L 1981 FINANCIAL PLAN STATEMENT OF OPERATIONS Variance 1980 Forecast 1981 Forecast Amount Percentage Gross Revenue: Daily Care $'3,479,288 <1,020,885 $ 550,597 15,8 % Medical Departments 55094,264 51777,432 683,168 13.4 Non-medical Departments 342,673 378 348 35_,675 10.4 V8,916,2V ~8; 3 /~l$5~(alos $1,269t440 14.E Deductions of Revenue: Indigent Care $ 347049 $ 3953603 $ 47,654 13,6 Dad Debts 576,207 658,088 81,881 14,2 Contractual Allowances 529,567 553 302 23.735 4.4 Net Revenues $ 7,462,502 $ 8,5781672 $ 11116,170 A/,9 Expenses: Nursing Services $ 21540,679 $ 2,9111,879 $ 374,200 14.7 Professional Services 1,963,512 21265,200 301,688 15.4 General Services 1,501,392 1,6332251 131,859 8.8 Administrative & Fiscal Ser, 1,001,873 13083,639 79,766 7.9 Depreciation 284 996 310,500 25 504 819 Total Expenses 177 '1; r TT s 7 4- "9f i'1° "1z;'S Operating Result $ 168,050 $ 371,203 $ 203,153 Non-Operating Revenue: Appropriations $ 214,632 $ Other Donations 41,826 45,000 Interest Income 20,000 10000 Total Result $ 444,508 $ 4263203 e, k 7s n? Page 2 FLOW MEMORIAL HOSPITAL 1961 FINANCIAL. PLAN STATEMENT OF CASH REQUIREMENTS Variance 1980 Cstirtated Actual 1981 Forecast Amount Percentage Beginning Cash Balance r $ 156,027 $ 166,500 Cash Receipts; 7,G58 99O $ 81532,366 -0731.376 $ -Y4 71' Patient Revenues $ 150,000 18,000 13.6 Recovery of Bad Debts 1325000 340 35) +77 i3 8.4 Ot}ier Revenues 381,204 228, 5500 0104 a)5 (11.0) • Lion-operating Revenues 0 ( l y, DOLL 214L632 _ 000.0 Ap~~ropriations 214x00 a,29b,£367 a 1 Total Cash Receipts + Cash Oisbursmients; $ M76,781 $ 41275,185 $ 289,404 7.5 Payroll ,.5 rayroll Taxes/benefits 440,665 473 196, , 714 33 049 7 146 24,675 14.3 Pationt Refunds 171,471 ,444 15 , 007 20.1 Notes payable 745477 69r 60>007 300.0 [fond Retirement 5,000 65,000 01 Reserve Funds 54,000 54,000 75,000 415,000 370,000 593.3 Capital Assets Other 3 470 31775 000- 305,000 ~8 2G~~ , l35 /3.3 9, 37. ,.~a 9 /07 Cash r~equiremcnts needed to 186,500 $ - ` lie) meet budget 1931 200~000.- i'nding Cash {3alance t49 Not Cash Requirements to moot budget $ i c FLOW MEMORIAL NOSP I T A L Page3 1981 FINANCIAL PLAN COMPARISON OF REVENUES/EXPENSES REVENUES S V r"lance EXPENSES _ Variance 1980 Estimated 1981 Forecast Percentage 1980 Estimated- 1981 Forecast Percentage Nursing Administration $ 1353136 $ 150,569 11,4 HedIca I Surgical 2 A $ 2670649 $ 286,160 619 138,212 1",8,060 7.1 Medical SUrgical 2 C 778,472 894,250 111,9 324,977 360,994 1111 Medical Stwgical 3 A 7159000 786,940 1010 326490 353,952 8.4/ Medical SUrgical 3 8 438,881 481,800 918 142,214 150,602 5.9 OG/(.Yi'l 435,170 500,780 15.0 121,285 144,197 18.9 Nursery/NICU 405,000 474,500 17.2 230,x46 249,258 8.0 ICU 127,116 146,000 14.8 119,789 198,047 65.3'+ CCU 312)000 459,455 47,3 269,127 324,783 20.7 Labor & Delivery 260,000 285,000 9.6 1953752 218,742 11.7 Operating Room 181,310 336,750 10.0 181,310 196,231 8.2 Recovery Room 76,694 81,796 616 39,075 51,971 3310 E+nergency Room 304J86 335_L375 10.0 316,366 347,473 _ 1611_. Total Nursing Services $493021178 $ 500680806 17.8 $205405679 $21914,879 14.7 r Y, a ' {i 1' I i Ill 1 Page 4 r COiSPAR[SON O( 12i:VFNUES/f:Y,PEN$CS (ConCinucd) ucl!EA'UES EXPENS[S ~ ar•irice vart ancc 1980 ~stim~tecl. 1981 Forecast. pc~~centa e~, 1980 Estimated 1981 Forecast Percenta~ c ~ Laboratory $ 815,000 $ 925,000 10.7 $ 350,792 $ 396,000 12.9 Blood Bank 50,182 55,000 10,0 30,160 34,500 14.4 Central Services 550,726 561,735 1.0 254,561 280,b07 10,2 C Sociai Services 20,398 23,000 1.1 81,423 87,655 7, ~ Pharrazcy/IV 1,110,157 1,218,780 9,7 453,900 514,220 13,4 Anesthesia 321,000 340,000 5,4 187,230 195,214 .5 i' Physical Therapy 91,565 120,574 31,6 45,130 70,611 56,4 Radiology 506,163 612,318 20,9 225,847 299,520 ~1~.3 Nuclear hlodicine 95,818 100,604 5.0 46,209 50,896 10.0 Gartliopulnionary 145,279 160,000 10.0 103,448 110,362 G.7 Respiratory Therapy „_,5G~08G G21,50~ 10,0 184~,~,,,,~8,1,2 2?.5~115_r,__ 21,8 Other hiedicat Revenues $4,271,374 $4,738,511 10,9 ~ $1,963,612 $2,265,200 1J.. ~ Total Patient Revenues/Gxp. $8,673,552 $9,807,317 14,4 % $4,504,191 55,18r?,079 15,0 ;t f i i Page 5 COMPARISON OF REVENUES/EXPENSES (CUr•tin,~ed) EXPENSES REVENUES car ane - Variance 1930 Esticrated. 1991 Forec~7st Percentage 2980 EsrCim 1981 rcrecast fercentare 31000 24.0 $ 120,425 $ 134,705 11.9 Medical Records $ 521,663 11.4 204,348 7.6 4675971 Dietary 189'833 586,155 607,712 3,7 Plant Operations 237,844 266,651• 1211 EnvironmerttaI Services 88,997 102,720 15,4 Laundry & ±iren 66 ,.o'1.2 73,554 1019 Fiscal Affairs 105,690 110 104 9,9 Oat,, Processing 132,000 150,000 13.6 Credit & Collection 77,761 100,0 1799525 117,083 (35.0) Patient Accounting 34,002 0•4 31,076 Admissions 102,852 103,840 1, 0 C0111111LInkitienS 220131 26 t287 21.5 stiff Education 6,480 18,760 '189.5 itu,Eli ty Asstn a~tc c 28,?. 49,336 G3~~ Personnel 210287 23,123 8.G Purchasing 13,025 210000 1615 29,802 3,IIGG 8,6 Auxiliary 70,713 72,371 2.3 A dw i n i s tra t i on h a i R f h C01'111ARISON OF REVENUES/EXPENSES Page G ~~OntillUed~ __Y FVENUES`- EXPENSES arlance- Variance 1930_Estimated 1981 Forecast Percerjtag~_ 1980 Estimated 1981, Forecast Percentage General Ad;ninistration Em710)1e2 Benefits $ $ $ 157,404 $ 1',5,000 8.9 Depreciation 284,996 310,500 8.9 Interest 55,246 65,000 17.7 Insurance 60,114 63,500 5,6 Dues 13,000 159000 15.4 Postage 17,802 19,500 9.5 Xerox 14,992 16 50O 10,1 Other Revenue/Exp, 1141 &73 $__1711348 10.4 L Q 1,790,261 - $__.LLQ27,370 I1.7 9 ~ f } TOTAL' ',!'VFNUES/ S /0, l S:5, ~p6:5 I CY,PHISCS $8,9IG 2,5 Y:$~ 142 57,294>452 f69 12.5 ti , r F L 0W M E M O R I A L H O S P I T A L Page 7 1981 FINANCIAL PLAN PATIENT DAYS BY M;NTH Total Adult GYP! W2 A 2 C 3 A 3 8 2 8 CCU ICU & Pedi NICU urser Octobe• 434 248 775 682 372 124 93 62 29790 93 310 Noven~bnr 420 240 750 660 360 i20 90 GO 25700 90 300 Cecc,nber 434 248 775 682 372 124 93 62 2,790 93 310 January 434 248 77S 682 372 124 93 62 21790 93 h February :392 224 700 616 336 112 84 56 2420 84 280 March 434 248 775 682 372 124 93 62 21790 93 310 April 420 240 750 660 360 120 90 60 2,700 90 300 May 43^ 248 775 682 372 124 93 62 2,790 93 310 June: 420 240 750 660 360 120 90 60 29700 90 300 July 434 248 77'13 682 372 124 93 62 21790 93 310 August 43 4, 248 755 682 372 124 93 62 21790 93 310 September 420 210 750 660 _ 360 120 90 60 2_,700 90 V' . Total 51110 25920 91125 8,030 4080 1,4GO 1,095 730 32,850 1095 31650 Pilticnts Per Day 14.0 8.0 25.0 22,0 12,0 4,o 310 2.0 90.0 3.0 10.0 PagF; FJ FLOW MENOP,IAL ilOSPITtil. 1981, CAPITAL EOWNIVIT LIST CORONARY CA I UNIT $ moo Bedside module for artorial pressure monitoring on portal>le cart with dual purpose write-out PROGRESSIVE CARS 1fT117 _ $x,000 8 Ili-low beds MEDICAL RF.'CURQS. $ 800 Carpet PERSONNEL $ 600 Dark Roam Equipment t GENERAI~PAT1EN7l~REU5 $11,875 Drapes 3B $14,175 8 hospital tle(Is (1 $8000 19 flr:dilde rabies @ $2850 1 rXilill Table 0 $1110() 31 Patient Ronm Chairs @ $2325 NURSERY ' . S z,noo Blood Infusion Pump @ $1000 (marl Source: ribe:ropCiC Light Systcrn 0 $1,000 STAFr EDUCA-riom $ 2,519 311 Model 46 Transparency Maker 0 $610 Sony Videocassette Recorder & Adapter 0 MOD Orr 'r IG ft00~1 $14,060 Oporatln(l Table fi $101400 Yinimer Win, Drivur 0 $1475 Synthc~:r Reduced Small rragme:nt Src @ $2185 Igqii t•. I Pane 9 1930 Capital Equipment HOUSEKEEPING $ 1,500 1 Buffer 0 $850 2 Maid's Carts 0 656 LAUNDRY $ 600 Sewing Machine f PURCHASING $ 9,200 A8 Dick Printing Press DATA PROCESSING $ 689 2 CRT Work Stations PHYSICAL THERAPY $ 500 TENS Unit (Pain Control) RESPIRATORY THERAPY 4,680 3 Oxygen Analyzers $1605 1 Single Channel EV, Machine (r $2100 HunrkliFic, $975 DILTARY $ 2,895 Hobart Food Chopper h $1,860 Hobart Slicor @ $1,035 IIEONATAI,.INTENSIUE CARE. wwr s 65,000 EiuIldin9 rrudifirations to increase the bed capacity frum 4 to 8 beds, O $25000 Equipment for the 4 additional beds h $40,000 j C_r'N1'RAL _SUPPLY S 75,000 Replace present Anim,o storilizer X-RAY $1331250 Cnssottes/Screens 0 $10,000 filar Processor P Replacf) Rdrliographic E'iuoroscopic [q0p:I!vnt in Room 3 0 5105,500 r;a .y Nac}(:10 ~ 1930 Capital Equipment IIAINTENAPICE 1 $ 58,;00 Storage Building 30 x 40 x 15 Ea 5235000 Protective Shed and Fence for Emergency Generator 0 S5500 Vinyl Wall Covering @ $30,000 MAINTENANCE•:_ 11 $ 43 3 Boiler Water ruel Slater Pumps @ $2070 1 Boiler Fuel Slater & Condensate Return Tank Assembly 0 $1275 IIVAC Unit 10 ton (Medical Records) 0 $3200 Boiler sire Tube Cleaning Unit $1000 Repair or Replace Air Controlled Thermostats & Nmidistats 0 $14,000 Reapir of RooF 0 ,$10,000 I:urnlture for Front Lobby 0 $2000 TOTAL $ 44h891$-