HomeMy WebLinkAbout311137 5/9/2017 4 us G�gMR
F,;, t` CITY OF CARMEL, INDIANA VENDOR: 367222
ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $****63,772.04*
y` ,°; CARMEL, INDIANA 46032 2046
0 6 RELIABLE
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W0020 CHECK NUMBER: 311137
F eN CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 756576 300.00 TESTING FEES
301 5023990 756620 20,348.67 OTHER EXPENSES
301 5023990 756621 4,374.16 OTHER EXPENSES
301 5023990 756622 36,112.26- OTHER EXPENSES
1205 4347500 756705 756.00 GENERAL INSURANCE
301 5023990 756706 1,268.95 - OTHER EXPENSES
301 5023990 756972 447.00 -� OTHER EXPENSES
301 5023990 756986 165.00/ OTHER EXPENSES
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Indiana University Health Workplace Services, LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Staff Time/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756622
Service Date Description Quanti Charae Receipt Adiust Balance
04/03/2017 N.P.Staff Time 4.00 464.24 464.24
Jennifer Hoskins
04/03/2017 M.A.Staff Time 10.00 288.40 288.40
Kimberly Pride
04/03/2017 R.N.Staff Time 8.50 542.81 542.81
Mareesa Martin
04/03/2017 Health Coach Staff Time 3.00 197.76 197.76
Marissa Grant
04/03/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/04/2017 M.A.Staff Time 7.00 201.88 201.88
Kimberly Pride
04/04/2017 R.N.Staff Time 7.00 447.02 447.02
Mareesa Martin
04/04/2017 MD Staff Time 6.00 1,081.50 1081.50
Dr.Fagan
04/05/2017 M.A.Staff Time 9.75 281.19 281.19
Kimberly Pride
04/05/2017 R.N.Staff Time 8.25 526.85 526.85
Mareesa Martin
04/05/2017 N.P.Staff Time 7.00 812.42 812.42
Michael Day
04/06/2017 M.A.Staff Time 6.25 180.25 180.25
Kimberly Pride
04/06/2017 R.N.Staff Time 5.25 335.27 335.27
Mareesa Martin
04/06/2017 Health Coach Staff Time 4.00 263.68 263.68
Marissa Grant
04/06/2017 MD Staff Time 4.00 721.00 721.00
Dr.Fagan
04/07/2017 M.A.Staff Time 6.50 187.46 187.46
Kimberly Pride
Submitted To
MAY 0 2 2017
Clerk Treasurer
Invoice# 756622(continued)page 2
Service Date Description Quantity Charge Receipt Aust Balance
04/07/2017 R.N.Staff Time 5.50 351.23 351.23
Mareesa Martin
04/07/2017 Health Coach Staff Time 5.00 329.60 329.60
Marissa Grant
04/07/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/10/2017 M.A.Staff Time 9.50 273.98 273.98
Kimberly Pride
04/10/2017 R.N.Staff Time 9.75 622.64 622.64
Mareesa Martin
04/10/2017 Health Coach Staff Time 3.00 197.76 197.76
Marissa Grant
04/10/2017 N.P.Staff Time 4.75 551.29 551.29
Tina Nitsos
04/10/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/11/2017 M.A.Staff Time 7.00 201.88 201.88
Kimberly Pride
04/11/2017 R.N.Staff Time 7.25 462.99 462.99
Mareesa Martin
04/11/2017 MD Staff Time 6.00 1,081.50 1081.50
Dr.Fagan
04/12/2017 M.A.Staff Time 9.50 273.98 273.98
Kimberly Pride
04/12/2017 R.N.Staff Time 9.25 590.71 590.71
Mareesa Martin
04/12/2017 N.P.Staff Time 9.25 1,073.56 1073.56
Tina Nitsos
04/13/2017 M.A.Staff Time 5.00 144.20 144.20
Kimberly Pride
04/13/2017 R.N.Staff Time 5.00 319.30 319.30
Mareesa Martin
04/13/2017 MD Staff Time 4.00 721.00 721.00
Dr.Fagan
04/14/2017 M.A.Staff Time 7.25 209.09 209.09
Kimberly Pride
04/14/2017 R.N.Staff Time 7.00 447.02 447.02
Mareesa Martin
04/14/2017 Health Coach Staff Time 5.00 329.60 329.60
Marissa Grant
04/14/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/17/2017 M.A.Staff Time 9.75 281.19 281.19
Kimberly Pride
04/17/2017 R.N.Staff Time 9.75 622.64 622.64
Mareesa Martin
04/17/2017 Health Coach Staff Time 2.50 164.80 164.80
Marissa Grant
Invoice# 756622(continued)page 3
Service Date Description Quantity Charge Receipt $ Balance
04/17/2017 N.P.Staff Time 4.75 551.29 551.29
Tina Nitsos
04/17/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/18/2017 M.A.Staff Time 7.00 201.88 201.88
Kimberly Pride
04/18/2017 MD Staff Time 6.00 1,081.50 1081.50
Dr.Fagan
04/19/2017 M.A.Staff Time 9.50 273.98 273.98
Kimberly Pride
04/19/2017 N.P.Staff Time 9.75 1,131.59 1131.59
Tina Nitsos
04/20/2017 M.A.Staff Time 6.25 180.25 180.25
Kimberly Pride
04/20/2017 R.N.Staff Time 5.25 335.27 335.27
Mareesa Martin
04/20/2017 Health Coach Staff Time 5.75 379.04 379.04
Marissa Grant
04/20/2017 MD Staff Time 4.00 721.00 721.00
Dr.Fagan
04/21/2017 M.A.Staff Time 6.50 187.46 187.46
Kimberly Pride
04/21/2017 Health Coach Staff Time 3.75 247.20 247.20
Marissa Grant
04/21/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/24/2017 M.A.Staff Time 9.50 273.98 273.98
Kimberly Pride
04/24/2017 R.N.Staff Time 9.75 622.64 622.64
Mareesa Martin
04/24/2017 Health Coach Staff Time 3.00 197.76 197.76
Marissa Grant
04/24/2017 N.P.Staff Time 4.75 551.29 551.29
Tina Nitsos
04/24/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
04/25/2017 M.A.Staff Time 7.00 201.88 201.88
Kimberly Pride
04/25/2017 R.N.Staff Time 7.25 462.99 462.99
Mareesa Martin
04/25/2017 MD Staff Time 6.00 1,081.50 1081.50
Dr.Fagan
04/26/2017 M.A.Staff Time 9.50 273.98 273.98
Kimberly Pride
04/26/2017 R.N.Staff Time 9.25 590.71 590.71
Mareesa Martin
04/26/2017 N.P.Staff Time 9.25 1,073.56 1073.56
Tina Nitsos
Invoice# 756622(continued)page 4
Service Date Description Quantity Charae Receipt AIsd;:Y Balance
04/27/2017 M.A.Staff Time 5.00 144.20 144.20
Kimberly Pride
04/27/2017 R.N.Staff Time 5.25 335.27 335.27
Mareesa Martin
04/27/2017 Health Coach Staff Time 5.50 362.56 362.56
Marissa Grant
04/27/2017 MD Staff Time 4.00 721.00 721.00
Dr.Fagan
04/28/2017 M.A.Staff Time 7.25 209.09 209.09
Kimberly Pride
04/28/2017 R.N.Staff Time 6.75 431.06 431.06
Mareesa Martin
04/28/2017 Health Coach Staff Time 4.50 296.64 296.64
Marissa Grant
04/28/2017 MD Staff Time 5.00 901.25 901.25
Dr.Fagan
CITYCARO Invoice# 756622 Balance Due: 36112.26
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
w Cut and return with payment
Indiana University Health Workplace Services, LLC
950 North Meridian Street
-3,1 Suite 950
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Onsite Fee's/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756621
Service Date Description Quantity Charge Receipt A&g Balance
04/01/2017 City of Carmel Sports Performance 1.00 1,800.00 1800.00
Lease
04/01/2017 City of Carmel Clinic Build Out 1.00 2,574.16 2574.16
CITYCARO Invoice# 756621 Balance Due: 4374.16
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Submitted To
MAY 0 2 2017
Clerk Treasurer
Cut and return with payment
Indiana University Health Workplace Services, LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Misc.Onsite/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756620
Service Date Description Quanti Chase Receipt A" Balance
03/01/2017 Onsite Lab Charges 1.00 2,632.85 2632.85
March 2017 Labs
03/20/2017 AS Medical Solutions Clinic Meds 1.00 143.11 143.11
03/22/2017 AS Medical Solutions Clinic Meds 1.00 149.63 149.63
03/23/2017 AS Medical Solutions Clinic Meds 1.00 8.82 8.82
03/29/2017 AS Medical Solutions Clinic Meds 1.00 1,005.76 1005.76
03/31/2017 Video Visit 1.00 49.00 49.00
March 2017 Video Visits
04/01/2017 AS Medical Solutions Clinic Meds 1.00 2,272.52 2272.52
04/01/2017 Young at Heart Mail-Ins 1.00 362.84 362.84
04/12/2017 AS Medical Solutions Mail-In Meds 1.00 12,548.01 12548.01
04/12/2017 AS Medical Solutions Clinic Meds 1.00 306.90 306.90
04/18/2017 AS Medical Solutions Clinic Meds 1.00 869.23 869.23
CITYCARO Invoice# 756620 Balance Due: 20348.67
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Submitted To
MAY 0 2 2017
t'lerk Treasurer
_ Cut and return with payment
3:1 Indiana University Health Workplace Services, LLC
��- 950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite PEPM/Apri12017
1 Civic Square
Carmel,IN 46032-
Invoice# 756706
Service Date Description Quantity Charae ReceipBalance
04/01/2017 Monthly Wellness PEPM 619.00 1,268.95 1268.95
CITYCARO Invoice# 756706 Balance Due: 1268.95
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Submitted To
MAY 0 2 201
Clerk Treasurer
w Cut and return with payment
Indiana University Health Workplace Services, LLC
950 North Meridian Street
>�' Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Supply Billing/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756972
Service Date Description Quantity Charae Receipt AS11S1&S Balance
04/01/2017 Onsite Operating Supplies 1.00 447.00 447.00
April 2017 Supplies
CITYCARO Invoice# 756972 Balance Due: 447.00
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Submitted To
MAY 0 2 2017
Clerk Treasurer
Indiana University Health Workplace Services, LLC
3J) 950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax I D# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Wellness UDS/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756986
Service Date Description Quantity Charge Receipt B" Balance
03/21/2017 Quick Read UDS/6panel includes
15.00
03/21/2017 Quick Read UDS/6panel includes 1.00 15.00 15.00
kit
s..
Submitted To
MAY 0 2 2017
Clerk Treasurer
Invoice# 756986(continued)page 2
Service Date Description Quantity Charge Receipt Aust Balance
165.00
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
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4' 5 Indiana University Health Workplace Services, LLC
l� 950 North Meridian Street
�ZSS Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite EAP Services/April 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 756705
Service Date Description Quantity Charge Receipt Aeml Balance
04/01/2017 EAP Services 630.00 756.00 756.00
CITYCARO Invoice# 756705 Balance Due: 756.00
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Submitted To
MAY #2 2017
Clerk Treasurer
Cut and return with payment
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Indiana University Health Workplace Services,LLC
950 North Meridian Street
--�� Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
April 30, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Occupational DS/April
1 Civic Square
Carmel,IN 46032-
Invoice# 756576
Service Date Description Quantity Charge Receipt Adiust Balance
04/20/2017 Quick Read UDS/6panel
15.00
kit
Submitted To
MAY #12017
Clerk Treasurer
Invoice# 756576(continued)page 2
Service Date Description
15.00
kit
Invoice# 756576(continued)page 3
Service Date Description
300.00
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
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