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Home My WebLink About324018 04/10/18 r C4_A ��.... -'• - CITY OF CARMEL, INDIANA VENDOR: 367222 �b ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $'.'*71,204.56' ,q CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 324018 Mtrtie-��. CHICAGO IL 60686-0020 CHECK DATE: 04/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 762358 165.00 OTHER EXPENSES 301 5023990 762377 46,249.29 OTHER EXPENSES 301 5023990 762443 22,625.89 OTHER EXPENSES 301 5023990 762444 1,266.90 OTHER EXPENSES 301 5023990 762750 897.48 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60686-0020 Payee $71,204.56 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 301 Medical Fund Terms 301 Medical Fund Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 762377 50-239.90 $46,249.29 1 hereby certify that the attached invoice(s),or 3/31/18 762377 March 2018 Staff Time $46,249.29 301 301 301 301 762358 50-239.90 $165.00 bill(s)is(are)true and correct and that the 3/31/18 762358 March 2018 Wellness UDS $165.00 301 1 1 301 1 materials or services itemized thereon for 301 1 301 762750 50-239.90 $897.48 3/31/18 762750 March 2018 On-Site Billing $897.48 301 301 which charge is made were ordered and 301 301 762444 50-239.90 $1,266.90 received except 3/31/18 762444 March 2018 PEPM $1,266.90 301 301 301 301 762443 50-239.90 $22,625.89 3/31/18 762443 March 2018 Misc Onsite $22,625.89 301 301 301 301 Monday,April 9,2018 Lamb, Barbara Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice March 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Staff Time/March 2018 1 Civic Square Carmel,IN 46032- Invoice# 762377 Service Date Description anti Charcie Receip Ad'us Balance 03/01/2018 M.A.Staff Time 5.20 149.97 149.97 Kimberly Pride 03/01/2018 R.N.Staff Time 7.00 447.02 447.02 Stacey Neese 03/01/2018 N.P.Staff Time 5.50 638.33 638.33 Jill Coss 03/02/2018 M.A.Staff Time 5.00 144.20 144.20 Robert Seitz 03/02/2018 M.A.Staff Time 4.00 115.36 115.36 Kimberly Pride 03/02/2018 Health Coach Staff Time 4.25 280.16 280.16 Kristin Hullett 03/02/2018 R.N.Staff Time 8.75 558.78 558.78 Stacey Neese 03/02/2018 N.P.Staff Time 4.00 464.24 464.24 Tina Nitsos 03/02/2018 N.P.Staff Time 6.00 696.36 696.36 Jill Coss 03/05/2018 . N.P.Staff Time 4.00 464.24 464.24 Amy"isler 03/05/2018 MD Staff Time 6.00 1,081.50 1081.50 Dr.Fagan 03/05/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 03/05/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 03/05/2018 M.A.Staff Time 5.00 144.20 144.20 Jenny Broome 03/05/2018 M.A.Staff Time 4.60 132.66 132.66 Kimberly Pride 03/06/2018 R.N.Staff Time 11.50 734.39 734.39 Stacey Neese Invoice# 762377(continued)page 2 Service Date Description Quant! Charae Re i A&U-SI Balance 03/06/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 03/06/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/06/2018 M.A.Staff Time 7.30 210.53 210.53 Kimberly Pride 03/07/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 03/07/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 03/07/2018 M.A.Staff Time 7.55 217.74 217.74 Kimberly Pride 03/08/2018 R.N.Staff Time 5.25 335.27 335.27 Stacey Neese 03/08/2018 M.A.Staff Time 4.50 129.78 129.78 Maria Collins 03/08/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 03/09/2018 Health Coach Staff Time 5.00 329.60 32.9.60 Kristin Hullett 03/09/2018 R.N.Staff Time 7.00 447.02 447.02 Stacey Neese 03/09/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 03/09/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/09/2018 M.A.Staff Time 5.30 152.85 152.85 Amber Helton 03/12/2018 R.N.Staff Time 4.72 301.42 301.42 Karol Magyar 03/12/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 03/12/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese 03/12/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 03/12/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/12/2018 M.A.Staff Time 5.70 164.39 164.39 Maria Collins 03/13/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 03/13/2018 N.P.Staff Time 5.25 609.32 609.32 Tina Nitsos 03/13/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/13/2018 M.A.Staff Time 8.52 245.72 245.72 Kimberly Pride Invoice# 762377(continued)page 3 Service Date Description Quantily Charae Receip Ad'us Balance 03/14/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 03/14/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 03/15/2018 R.N.Staff Time 5.00 319.30 319.30 Stacey Neese 03/15/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 03/15/2018 M.A.Staff Time 4.00 115.36 115.36 Jenny Broome 03/16/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 03/16/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese 03/16/2018 N.P.Staff Time 6.50 754.39 754.39 Tina Nitsos 03/16/2018 N.P.Staff Time 6.00 696.36 696.36 Jill Coss 03/16/2018 M.A.Staff Time 4.50 129.78 129.78 Maria Collins 03/19/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 03/19/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 03/19/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 03/19/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/19/2018 M.A.Staff Time 7.80 224.95 224.95 Maria Collins 03/20/2018 R.N.Staff Time 12.00 766.32 766.32 Stacey Neese 03/20/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 03/20/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/20/2018 M.A.Staff Time 7.20 207.65 207.65 Maria Collins 03/21/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 03/21/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 03/21/2018 M.A.Staff Time 8.60 248.02 248.02 Maria Collins 03/22/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 03/22/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan Invoice# 762377(continued)page 4 Service Date Description Quant! Charcie Recelp Adiust Balance 03/22/2018 M.A.Staff Time 4.10 118.24 118.24 Maria Collins 03/23/2018 R.N.Staff Time 6.00 383.16 383.16 Stacey Neese 03/23/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 03/23/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 03/23/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/23/2018 M.A.Staff Time 4.80 138.43 138.43 Maria Collins 03/26/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 03/26/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 03/26/2018 Health Coach Staff Time 9.00 593.28 593.28 Kristin Hullett 03/26/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 03/26/2018 M.A.Staff Time 8.00 230.72 230.72 Strode 03/27/2018 R.N.Staff Time 10.75 686.50 686.50 Stacey Neese 03/27/2018 N.P.Staff Time 5.25 609.32 609.32 Tina Nitsos 03/27/2018 MD Staff Time 5.00 901.25 901.25. Dr.Fagan 03/27/2018 M.A.Staff Time 3.00 86.52 86.52 Mischa Cook 03/28/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 03/28/2018 N.P.Staff Time 9.50 1,102.57 1102.57 Tina Nitsos 03/28/2018 M.A.Staff Time 4.40 126.90 126.90 Mischa Cook 03/29/2018 R.N.Staff Time 4.25 271.41 271.41 Stacey Neese 03/29/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 03/29/2018 M.A.Staff Time 3.90 112.48 112.48 Mischa Cook 03/30/2018 M.A.Staff Time 5.00 144.20 144.20 Aretis Leslie 03/30/2018 M.A.Staff Time 4.00 115.36 115.36 Mischa Cook 03/30/2018 R.N.Staff Time 6.50 415.09 415.09 Stacey Neese Invoice# 762377(continued)page 5 Service Date Description uanti Cha[ge ChargeReceipt Ad'us Balance 03/30/2018 N.P.Staff Time 6.00 696.36 696.36 Tina Nitsos 03/30/2018 Health Coach Staff Time 3.00 197.76 197.76 Kristin Hullett 03/30/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan CITYCARO Invoice# 762377 Balance Due: 46249.29 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK n APR 1.0 2018 E Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice March 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Wellness UDS/Mar.2018 1 Civic Square Carmel,IN 46032- Invoice# 762358 Service Date Description Quantity Charae Receip Adjust Balance 03/30/2018 Quick Read UDS/6panel 15.00 kit Invoice# 762358(continued)page 2 Service Date Description 165.00 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK APR 1 0 2018 F J Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice March 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite On-Site Billing/Mar.2018 1 Civic Square Carmel,IN 46032- Invoice# 762750 Service Date Description Quantity Charae Receip AMMUS Balance 03/01/2018 Onsite Facility Operations 1.00 347.20 347.20 March 2018 Facility Services 03/01/2018 Onsite Operating Supplies 1.00 550.28 550.28 March 2018 Supplies CITYCARO Invoice# 762750 Balance Due: 897.48 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK To APR 10 2018 as'u 7q° -=t � . Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice March 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite PEPM/March 2018 1 Civic Square Carmel,IN 46032- Invoice# 762444 Service Date Description Quanti Charae Recei A&U-SI Balance 03/01/2018 Monthly Wellness PEPM 618.00 1,266.90 1266.90 CITYCARO Invoice# 762444 Balance Due: 1266.90 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK I. TA APR 10 zm i Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice March 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Misc.Onsite/March 2018 1 Civic Square Carmel,IN 46032- Invoice# 762443 Service Date Description Quanti Charae Recelp Adjust Balance 02/01/2018 Onsite Lab Charges 1.00 4,228.37 4228.37 February 2018 Labs 02/19/2018 AS Medical Solutions Clinic Meds 1.00 1,220.32 1220.32 02/19/2018 AS Medical Solutions Mail-In Meds 1.00 8,265.71 8265.71 02/23/2018 AS Medical Solutions Clinic Meds 1.00 432.97 432.97 02/28/2018 Video Visit 2.00 98.00 98.00 03/01/2018 Utility Expenses 1.00 743.94 743.94 03/01/2018 Building Expenses 1.00 1,086.87 1086.87 03/01/2018 Lease Expense 1.00 4,316.05 4316.05 03/05/2018 AS Medical Solutions Clinic Meds 1.00 1,177.10 1177.10 03/06/2018 AS Medical Solutions Clinic Meds 1.00 142.66 142.66 03/07/2018 AS Medical Solutions Clinic Meds 1.00 26.51 26.51 03/12/2018 AS Medical Solutions Clinic Meds 1.00 30.96 30.96 03/13/2018 AS Medical Solutions Clinic Meds 1.00 856.43 856.43 CITYCARO Invoice# 762443 Balance Due: 22625.89 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK 5