The URL can be used to link to this page

Home My WebLink About327342 07/10/18 1. CITY OF CARMEL, INDIANA VENDOR: 367222 ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $****66,451.09* •i�. a�� CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 327342 9�;'r6N CHICAGO IL 60686-0020 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 763572 105.00 OTHER EXPENSES 301 5023990 763574 41,756.26 OTHER EXPENSES 301 5023990 763575 1,273.05 OTHER EXPENSES 301 5023990 763576 22,360.65 OTHER EXPENSES 301 5023990 763685 956.13 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY An invoice or bill to be properly itemized must show:kind of service,when;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 $66,451.09 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 763572 50-239.90 $105.00 1 hereby certify that the attached invoice(s),or 6/30/18 763572 $105.00 301 301 301 301 763685 50-239.90 $956.13 bill(s)is(are)true and correct and that the 6/30/18 763685 $956.13 301 301 materials or services itemized thereon for 301 1 301 763576 50-239.90 $22,360.65 6/30/18 763576 $22,360.65 301 301 which charge is made were ordered and 301 301 763575 50-239.90 $1,273.05 received except 6/30/18 763575 $1,273.05 301 301 301 301 763574 50-239.90 $41,756.26 6/30/18 763574 $41,756.26 301 301 301 301 Thursday,July 5,2018 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 June 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Wellness UDS/June 2018 1 Civic Square Carmel,IN 46032- Invoice# 763572 Service Date Description Quanti h r e Recelp Ad'us Balance 06/20/2018 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Due: 15.00 06/20/2018 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Subm-1-tted Tot JUL 0 3 2018 CIor 1 rasurer Invoice# 763572(continued)page 2 Service Date Description Quanti Charge R cei Ad'us Balance 15.00 CITYCARO Invoice# 763572 Balance Due: 105.00 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 I D# 20-0994452 Invoice June 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite On-Site Billing/June 2018 1 Civic Square Carmel,IN 46032- Invoice# 763685 Service Date Description Quanti Charge Receip Adjust Balance 06/01/2018 Onsite Facility Operations 1.00 398.00 398.00 June 2018 Facility Services 06/01/2018 Onsite Operating Supplies 1.00 558.13 558.13 June 2018 Supplies CITYCARO Invoice# 763685 Balance Due: 956.13 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK L Tatrer I...--A.,e......—A.1..........e... Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice June 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Misc.Onsite/June 2018 1 Civic Square Carmel,IN 46032- Invoice# 763576 Service Date DescriptionQuant! Charae Recei Ad'us Balance 04/01/2018 Onsite Lab Charges 1.00 -187.21 -187.21 Credit from April 2018 Labs 05/01/2018 AS Medical Solutions Mail-In Meds 1.00 9,413.20 9413.20 05/01/2018 Onsite Lab Charges 1.00 3,094.10 3094.10 May 2018 Labs 05/22/2018 AS Medical Solutions Clinic Meds 1.00 912.24 912.24 05/29/2018 AS Medical Solutions Mail-In Meds 1.00 2,043.33 2043.33 05/30/2018 AS Medical Solutions Clinic Meds 1.00 670.24 670.24 06/01/2018 Utility Expenses 1.00 653.97 653.97 06/01/2018 Building Expenses 1.00 1,086.87 1086.87 06/01/2018 Lease Expense 1.00 4,316.05 4316.05 06/04/2018 AS Medical Solutions Clinic Meds 1.00 18.85 18.85 06/06/2018 AS Medical Solutions Clinic Meds 1.00 8.82 8.82 06/11/2018 AS Medical Solutions Clinic Meds 1.00 321.37 321.37 06/12/2018 AS Medical Solutions Clinic Meds 1.00 8.82 8.82 CITYCARO Invoice# 763576 Balance Due: 22360.65 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK ubudift1ted Te- JUL 0 3 2018 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 June 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite PEPM/June 2018 1 Civic Square Carmel,IN 46032- Invoice# 763575 Service Date Description Quant! Charge Receip Ad'us Balance 06/01/2018 Monthly Wellness PEPM 621.00 1,273.05 1273.05 CITYCARO Invoice# 763575 Balance Due: 1273.05 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK "e'ed T� JUL 0 3 2018 (Clerk Trey ��° Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax I D# 20-0994452 Invoice June 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Staff Time/June 2018 1 Civic Square Cannel,IN 46032- Invoice# 763574 Service Date Description Quanti Charge Re ! AW-US-1 Balance 06/01/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 06/01/2018 R.N.Staff Time 5.00 319.30 319.30 Bonita Richardson 06/01/2018 M.A.Staff Time 5.00 144.20 144.20 Jenny Broome 06/01/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 06/01/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 06/01/2018 M.A.Staff Time 5.40 155.74 155.74 Kimberly Pride 06/04/2018 M.A.Staff Time 8.52 245.72 245.72 Maria Collins 06/04/2018 Health Coach Staff Time 8.50 560.32 560.32 Kristin Hullett 06/04/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 06/04/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 06/04/2018 R.N.Staff Time 11.50 734.39 734.39 Stacey Neese 06/05/2018 M.A.Staff Time 8.70 250.91 250.91 Kimberly Pride 06/05/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 06/05/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 06/06/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 06/06/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese Subra'fked To JUL 03 2018 Clerk Treasurer Invoice# 763574(continued)page 2 Service Date Description Quanti Charge R cel AdLs Balance 06/06/2018 M.A.Staff Time 8.53 246.01 246.01 Kimberly Pride 06/07/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 06/07/2018 R.N.Staff Time 4.00 255.44 255.44 Stacey Neese 06/07/2018 M.A.Staff Time 4.70 135.55 135.55 Kimberly Pride 06/08/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 06/08/2018 M.A.Staff Time 4.80 138.43 138.43 Maria Collins 06/08/2018 M.A.Staff Time 5.70 164.39 164.39 Kimberly Pride 06/08/2018 Health Coach Staff Time 3.50 230.72 230.72 Kristin Hullett 06/08/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 06/08/2018 R.N.Staff Time 4.00 255.44 255.44 Stacey Neese 06/11/2018 M.A.Staff Time 8.10 233.60 233.60 Kimberly Pride 06/11/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 06/11/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 06/11/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 06/11/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 06/12/2018 M.A.Staff Time 8.20 236.49 236.49 Kimberly Pride 06/12/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 06/12/2018 N.P.Staff Time 9.75 1,131.59 1131.59 Tina Nitsos 06/13/2018 M.A.Staff Time 8.28 238.80 238.80 Kimberly Pride 06/13/2018 R.N.Staff Time 9.25 590.71 590.71 Stacey Neese 06/13/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 06/14/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 06/14/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 06/14/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese Invoice# 763574(continued)page 3 Service Date Description Quantity Charge Recei Ad"Us Balance 06/15/2018 M.A.Staff Time 5.60 161.50 161.50 Kimberly Pride 06/15/2018 M.A.Staff Time 5.10 147.08 147.08 Maria Collins 06/15/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 06/15/2018 R.N.Staff Time 5.25 335.27 335.27 Stacey Neese 06/15/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 06/15/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 06/18/2018 M.A.Staff Time 8.43 243.12 243.12 Kimberly Pride 06/18/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 06/18/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 06/18/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 06/18/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 06/19/2018 M.A.Staff Time 8.50 245.14 245.14 Kimberly Pride 06/19/2018 R.N.Staff Time 8.00 510.88 510.88 Stacey Neese 06/19/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 06/20/2018 M.A.Staff Time 8.48 244.56 244.56 Kimberly Pride 06/20/2018 R.N.Staff Time 9.75 622.64 622.64 Stacey Neese 06/20/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 06/21/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 06/21/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 06/21/2018 R.N.Staff Time 4.75 303.34 303.34 Stacey Neese 06/22/2018 M.A.Staff Time 5.50 158.62 158.62 Kimberly Pride 06/22/2018 R.N.Staff Time 4.40 280.98 280.98 Bonita Richardson 06/22/2018 M.A.Staff Time 4.90 141.32 141.32 Sherry Axline 06/22/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan Invoice# 763574(continued)page 4 Service Date Description Quanti Charge Receipt A&U-st Balance 06/22/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 06/22/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 06/25/2018 M.A.Staff Time 8.45 243.70 243.70 Kimberly Pride 06/25/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 06/25/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 06/25/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 06/25/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 06/26/2018 M.A.Staff Time 8.45 243.70 243.70 Kimberly Pride 06/26/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 06/26/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 06/27/2018 M.A.Staff Time 8.43 243.12 243.12 Kimberly Pride 06/27/2018 R.N.Staff Time 9.25 590.71 590.71 Stacey Neese 06/27/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 06/28/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 06/28/2018 MD Staff Time 4.00 721.00 721.00 Dr.Fagan 06/28/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese 06/29/2018 M.A.Staff Time 4.50 129.78 129.78 SherryAxline 06/29/2018 M.A.Staff Time 5.30 152.85 152.85 Kimberly Pride 06/29/2018 MD Staff Time 5.00 901.25 901.25 Dr.Fagan 06/29/2018 R.N.Staff Time 5.25 335.27 335.27 Stacey Neese 06/29/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 06/29/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett Invoice# 763574(continued)page 5 a Service Date DescriptionQuant! Char e R cei Ad"Us Balance CITYCARO Invoice# 763574 Balance Due: 41756.26 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK