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Home My WebLink About324834 05/04/18 ,CAq CITY OF CARMEL, INDIANA VENDOR: 367222 ® al ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LL CCHECK AMOUNT: $""68,063. CARMEL, INDIANA 46032 RELIABLE PKWY CHECK NUMBER: 324834 CHIC CHICAGO IL 60686.0020 CHECK DATE: 05/04/18 .,gTON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 762842 150.00 OTHER EXPENSES 301 5023990 762844 20,411.24 OTHER EXPENSES 301 5023990 762925 1,268.95 OTHER EXPENSES 301 50.23990 762926 45,371.93 OTHER EXPENSES 301 5023990 763156 861.81 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ 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 $68,063.93 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 763156 50-239.90 $861.81 1 hereby certify that the attached invoice(s),or 4/30/18 763156 Onsite Billing April $861.81 301 301 301 301 762926 50-239.90 $45,371.93 bill(s)is(are)true and correct and that the 4/30/18 762926 Onsite Staff Time April $45,371.93 301 301 materials or services itemized thereon for 301 1 301 762925 50-239.90 $1,268.95 4/30/18 762925 Onsite PEPM April $1,268.95 301 301 which charge is made were ordered and 301 301 762844 50-239.90 $20,411.24 received except 4/30/18 762844 Onsite Misc April $20,411.24 301 .301 301 301 762842 50-239.90 $150.00 5/2/18 762842 Onsite Wellness UDS April $150.00 301 301 301 301 Thursday, May 3,2018 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 I D# 20-0994452 Invoice April 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite On-Site Billing/Apr.2018 1 Civic Square Carmel,IN 46032- Invoice# 763156 Service Date Description Quanti Chacge Receipt Ad'us Balance 04/01/2018 Onsite Facility Operations 1.00 96.69 96.69 April 2018 Facility Services 04/01/2018 Onsite Operating Supplies 1.00 765.12 765.12 April 2018 Supplies CITYCARO Invoice# 763156 Balance Due: 861.81 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice April 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Staff Time/April 2018 1 Civic Square Carmel,IN 46032- Invoice# 762926 Service Date Description Quanti Charge Receip Ad'us Balance 04/02/2018 N.P.Staff Time 4.00 464.24 464.24 Christine Morgan 04/02/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 04/02/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 04/02/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/02/2018 M.A.Staff Time 8.22 237.06 237.06 Maria Collins 04/03/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 04/03/2018 N.P.Staff Time 5.00 580.30 580.30 Michael Day 04/03/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/03/2018 M.A.Staff Time 9.00 259.56 259.56 Mischa Cook 04/04/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 04/04/2018 N.P.Staff Time 8.00 928.48 928.48 Michael Day 04/04/2018 M.A.Staff Time 8.97 258.69 258.69 Karol Magyar 04/05/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 04/05/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 04/05/2018 M.A.Staff Time 3.90 112.48 112.48 Maria Collins 04/06/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese MAY 0 2 2018 pA Invoice# 762926(continued)page 2 Service Date Description Quantity Charge Recei Adiu-st Balance 04/06/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 04/06/2018 N.P.Staff Time 5.00 580.30 580.30 Michael Day 04/06/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/06/2018 M.A.Staff Time 5.10 147.08 147.08 Mischa Cook 04/06/2018 M.A.Staff Time 5.30 152.85 152.85 Marleah Money 04/09/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 04/09/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 04/09/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 04/09/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/09/2018 M.A.Staff Time 8.10 233.60 233.60 Maria Collins 04/10/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 04/10/2018 R.N.Staff Time 11.25 718.43 718.43 Stacey Neese 04/10/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/10/2018 M.A.Staff Time 9.00 259.56 259.56 Maria Collins 04/11/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 04/11/2018 R.N.Staff Time 8.25 526.85 526.85 Stacey Neese 04/11/2018 M.A.Staff Time 8.47 244.27 244.27 Karol Magyar 04/12/2018 M.A.Staff Time 4.10 118.24 118.24 Maria Collins 04/12/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese 04/12/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 04/13/2018 M.A.Staff Time 5.30 152.85 152.85 Marleah Money 04/13/2018 M.A.Staff Time 4.80 138.43 138.43 Mischa Cook 04/13/2018 M.A.Staff Time 2.50 72.10 72.10 Maria Collins 04/13/2018 N.P.Staff Time 6.00 696.36 696.36 Tina Nitsos Invoice# 762926(continued)page 3 Service Date Description Quant! Ch_arae Recei Adiust Balance 04/13/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese 04/13/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 04/13/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/16/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 04/16/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 04/16/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 04/16/2018 M.A.Staff Time 8.70 250.91 250.91 Maria Collins 04/16/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan - 04/17/2018 R.N.Staff Time 4.50 287.37 287.37 Raubyn Barich 04/17/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese 04/17/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 04/17/2018 M.A.Staff Time 9.20 265.33 265.33 Betty Hartley 04/17/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/18/2018 R.N.Staff Time 9.70 619.44 619.44 Karol Magyar 04/18/2018 M.A.Staff Time 7.60 219.18 219.18 Maria Collins 04/18/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 04/19/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 04/19/2018 MD Staff Time 4.00 721.00 721.00 - Dr.Fagan 04/20/2018 M.A.Staff Time 4.00 115.36 115.36 Maria Collins 04/20/2018 M.A.Staff Time 4.80 138.43 138.43 Amber Helton 04/20/2018 R.N.Staff Time 5.00 319.30 319.30 Stacey Neese 04/20/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 04/20/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 04/20/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan Invoice# 762926(continued)page 4 Service Date Description Quanti ChaEge Recei Ad"Us Balance 04/23/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 04/23/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 04/23/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 04/23/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/23/2018 M.A.Staff Time 4.47 128.91 128.91 Karol Magyar 04/24/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 04/24/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 04/24/2018 M.A.Staff Time 9.00 259.56 259.56 Maria Collins 04/24/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/25/2018 N.P.Staff Time 8.00 928.48 928.48 Pamela Pilcher 04/25/2018 M.A.Staff Time 8.97 258.69 258.69 Karol Magyar 04/25/2018 R.N.Staff Time 11.15 712.04 712.04 Stacey Neese 04/26/2018 M.A.Staff Time 4.50 129.78 129.78 Maria Collins 04/26/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 04/26/2018 R.N.Staff Time 5.00 319.30 319.30 Stacey Neese 04/27/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/27/2018 M.A.Staff Time 4.10 118.24 118.24 Maria Collins 04/27/2018 R.N.Staff Time 6.00 383.16 383.16 Stacey Neese 04/27/2018 N.P.Staff Time 6.00 696.36 696.36 Tina Nitsos 04/27/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 04/30/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 04/30/2018 M.A.Staff Time 8.10 233.60 233.60 Maria Collins 04/30/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 04/30/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos Invoice# 762926(continued)page 5 Service Date Description Quanti h r e Recei Ad"Us Balance 04/30/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett CTTYCARO Invoice# 762926 Balance Due: 45371.93 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice April 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite PEPM/April 2018 1 Civic Square Carmel,IN 46032- Invoice# 762925 Service Date Description ani Charge Recei Adiust Balance 04/01/2018 Monthly Wellness PEPM 619.00 1,268.95 1268.95 CITYCARO Invoice# 762925 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 2018 Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax I D# 20-0994452 Invoice April 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Misc.Onsite/April 2018 1 Civic Square Carmel,IN 46032- Invoice# 762844 Service Date DescriptionQuant! Charge Receipt Ad'us Balance 03/01/2018 Onsite Lab Charges 1.00 3,359.11 3359.11 March 2018 Labs 03/22/2018 AS Medical Solutions Clinic Meds 1.00 269.66 269.66 03/23/2018 AS Medical Solutions Clinic Meds 1.00 372.00 372.00 03/26/2018 AS Medical Solutions Mail-In Meds 1.00 2,597.88 2597.88 03/27/2018 AS Medical Solutions Clinic Meds 1.00 36.47 36.47 03/28/2018 AS Medical Solutions Mail-In Meds 1.00 4,596.15 4596.15 03/28/2018 AS Medical Solutions Clinic Meds 1.00 853.31 853.31 03/31/2018 Video Visit 1.00 49.00 49.00 04/01/2018 Utility Expenses 1.00 1,075.59 1075.59 04/01/2018 Lease Expense 1.00 4,316.05 4316.05 04/01/2018 Building Expenses 1.00 1,086.87 1086.87 04/17/2018 AS Medical Solutions Clinic Meds 1.00 1,799.15 1799.15 CITYCARO Invoice# 762844 Balance Due: 20411.24 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK Subm'ft-'�Ied To MAY 0 2 2018 Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice April 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Wellness UDS/April 2018 1 Civic Square Carmel,IN 46032- Invoice# 762842 Service Date Description 15.00 kit SUb.'_.. .:j,.tiic 1 T 43 I MAY 0 2 2018 Invoice# 762842(continued)page 2 Service Date DescriptionQuant! 150.00 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK