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Home My WebLink About328375 8/8/2018 (9, CITY OF CARMEL, INDIANA VENDOR: 367222 ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: S****72,240.14* CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 328375 CHICAGO IL 60686-0020 CHECK DATE: 08/08/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 763711 42,635.37 OTHER EXPENSES 301 5023990 763768 135.00 OTHER EXPENSES 301 5023990 763782 1,268.95 OTHER EXPENSES 301 5023990 763783 27,226.95 OTHER EXPENSES 301 5023990 763836 973.87 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 $72,240.14 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 763836 50-239.90 $973.87 1 hereby certify that the attached invoice(s),or 7/31/18 763836 July Onsite Billing $973.87 301 301 301 301 763783 50-239.90 $27,226.95 bill(s)is(are)true and correct and that the 7/31/18 763783 July Misc $27,226.95 301 301 materials or services itemized thereon for 301 301 763782 50-239.90 $1,268.95 7/31/18 763782 July PEPM $1,268.95 301 301 which charge is made were ordered and 301 301 763768 50-239.90 $135.00 received except 7/31/18 763768 July Wellness UDS. $135.00 301 301 301 301 763711 50-239.90 $42,635.37 7/31/18 763711 July Staff Time $42,635.37 301 301 301 301 Thursday,August 2,2018 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 July 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite On-Site Billing/July 2018 1 Civic Square Carmel,IN 46032- Invoice# 763836 Service Date DescriptionQuant! Charae Recei &U-S Balance 07/01/2018 Onsite Facility Operations 1.00 363.43 363.43 July 2018 Facility Charges 07/01/2018 Onsite Operating Supplies 1.00 610.44 610.44 July 2018 Supplies CITYCARO Invoice# 763836 Balance Due: 973.87 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK e AUG 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 July 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Misc.Onsite/July 2018 1 Civic Square Carmel,IN 46032- Invoice# 763783 Service Date Description Quanti Charge Receip Ad'us Balance 06/01/2018 AS Medical Solutions Mail-In Meds 1.00 1,718.92 1718.92 06/01/2018 Onsite Lab Charges 1.00 3,746.45 3746.45 June 2018 Labs 06/16/2018 AS Medical Solutions Clinic Meds 1.00 1,203.11 1203.11 06/21/2018 AS Medical Solutions Clinic Meds 1.00 21.35 21.35 06/26/2018 AS Medical Solutions Clinic Meds 1.00 739.27 739.27 06/28/2018 AS Medical Solutions Mail-In Meds 1.00 4,850.66 4850.66 07/01/2018 Utility Expenses 1.00 695.45 695.45 07/01/2018 Building Expenses 1.00 1,086.87 1086.87 07/01/2018 Lease Expense 1.00 4,316.05 4316.05 07/05/2018 AS Medical Solutions Clinic Meds 1.00 27.55 27.55 07/09/2018 AS Medical Solutions Clinic Meds 1.00 1,767.94 1767.94 07/10/2018 AS Medical Solutions Mail-In Meds 1.00 5,439.38 5439.38 07/12/2018 AS Medical Solutions Mail-In Meds 1.00 1,582.09 1582.09 07/12/2018 AS Medical Solutions Clinic Meds 1.00 31.86 31.86 CITYCARO Invoice# 763783 Balance Due: 27226.95 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK S-mbi-ni ped To AUG 0 2 2018 lerk TreasurerI Indiana University Health Workplace Services,LLC 3,1 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice July 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite PEPM/July 2018 1 Civic Square Carmel,IN 46032- Invoice# 763782 Service Date Description Quanti Charge Recelp Adjust Balance 07/01/2018 Monthly Wellness PEPM 619.00 1,268.95 1268.95 CITYCARO Invoice# 763782 Balance Due: 1268.95 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK 'F u�.ra, fed T AUG 0 2 2018 Cl`tea a Ili Cut and return with navtnent Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice July 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Wellness UDS/July 2018 1 Civic Square Carmel,IN 46032- Invoice# 763768 Service Date DescriptionQuant! Charge Receip Ad'us Balance 07/20/2018 Quick Read UDS/6panel 15.00 kit S b i e� Ptd AUG 02 2018 Invoice# 763768(continued)page 2 Service Date Description 15.00 CITYCARO Invoice# 763768 Balance Due: 135.00 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 ID# 20-0994452 Invoice July 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Staff Time/July 2018 1 Civic Square Carmel,IN 46032- Invoice# 763711 Service Date Description Quantity ChargeRecei Adiust Balance 07/02/2018 M.A.Staff Time 8.30 239.37 239.37 Kimberly Pride 07/02/2018 N.P.Staff Time 5.00 580.30 580.30 Tina Nitsos 07/02/2018 R.N.Staff Time 10.75 686.50 686.50 Stacey Neese 07/02/2018 Health Coach Staff Time 9.00 593.28 593.28 Kristin Hullett 07/02/2018 N.P.Staff Time 4.70 545.48 545.48 Ilona Richards 07/03/2018 R.N.Staff Time 5.10 325.69 325.69 Bonita Richardson 07/03/2018 M.A.Staff Time 8.12 234.18 234.18 Kimberly Pride 07/03/2018 N.P.Staff Time 9.50 1,102.57 1102.57 Tina Nitsos 07/03/2018 R.N.Staff Time 6.00 383.16 383.16 Stacey Neese 07/05/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 07/05/2018 R.N.Staff Time 4.25 271.41 271.41 Stacey Neese 07/05/2018 N.P.Staff Time 4.20 487.45 487.45 Ilona Richards 07/06/2018 M.A.Staff Time 4.90 141.32 141.32 Maria Collins 07/06/2018 M.A.Staff Time 4.30 124.01 124.01 Bonita Richardson 07/06/2018 N.P.Staff Time 6.00 696.36 696.36 Tina Nitsos 07/06/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese d T�y AUG 0 2 2018 Clank TlrGasurer Invoice# 763711 (continued)page 2 Service Date Description Quanti Charge Recelp Adiust Balance 07/06/2018 N.P.Staff Time 4.70 545.48 545.48 Ilona Richards 07/09/2018 M.A.Staff Time 8.07 232.74 232.74 Maria Collins 07/09/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/09/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/09/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 07/10/2018 M.A.Staff Time 3.30 95.17 95.17 Marleah Money 07/10/2018 M.A.Staff Time 5.60 161.50 161.50 Cheretha Benson 07/10/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese 07/10/2018 N.P.Staff Time 9.75 1,131.59 1131.59 Tina Nitsos 07/11/2018 M.A.Staff Time 4.20 121.13 121.13 Cheretha Benson 07/11/2018 M.A.Staff Time 4.30 124.01 124.01 Maria Collins 07/11/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/11/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 07/12/2018 MD Staff Time 4.00 721.00 721.00 Dr.Esangbedo 07/12/2018 M.A.Staff Time 3.30 95.17 95.17 Bonita Richardson 07/12/2018 R.N.Staff Time 5.25 335.27 335.27 Stacey Neese 07/13/2018 M.A.Staff Time 5.30 152.85 152.85 Bonita Richardson 07/13/2018 R.N.Staff Time 6.25 399.13 399.13 Stacey Neese 07/13/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/13/2018 N.P.Staff Time 7.00 812.42 812.42 Tina Nitsos 07/13/2018 M.A.Staff Time 5.50 158.62 158.62 Kimberly Pride 07/16/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 07/16/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/16/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody Invoice# 763711 (continued)page 3 Service Date Description Quanti Charge Recelp Adiust Balance 07/16/2018 N.P.Staff Time 4.75 551.29 551.29 Andrea Moser 07/16/2018 M.A.Staff Time 8.13 234.47 234.47 Kimberly Pride 07/17/2018 MD Staff Time 5.50 991.38 991.38 Dr.Esangbedo 07/17/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 07/17/2018 N.P.Staff Time 4.50 522.27 522.27 Michelle Bowen 07/17/2018 M.A.Staff Time 8.20 236.49 236.49 Kimberly Pride 07/18/2018 M.A.Staff Time 8.23 237.35 237.35 Kimberly Pride 07/18/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/18/2018 N.P.Staff Time 8.00 928.48 928.48 Michelle Bowen 07/19/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 07/19/2018 R.N.Staff Time 4.25 271.41 271.41 Stacey Neese 07/19/2018 N.P.Staff Time 4.00 464.24 464.24 Candice Hamilton 07/20/2018 M.A.Staff Time 5.40 155.74 155.74 Kimberly Pride 07/20/2018 M.A.Staff Time 5.20 149.97 149.97 Maria Collins 07/20/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 07/20/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese 07/20/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/20/2018 N.P.Staff Time 5.00 580.30 580.30 Michelle Bowen 07/23/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/23/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 07/23/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/23/2018 M.A.Staff Time 8.23 237.35 237.35 Kimberly Pride 07/23/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 07/24/2018 R.N.Staff Time 11.00 702.46 702.46 Stacey Neese Invoice# 763711 (continued)page 4 Service Date Description n i Charge Receipt Adiust Balance 07/24/2018 N.P.Staff Time 9.50 1,102.57 1102.57 Tina Nitsos 07/24/2018 M.A.Staff Time 8.00 230.72 230.72 Kimberly Pride 07/25/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 07/25/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 07/25/2018 M.A.Staff Time 8.18 235.91 235.91 Kimberly Pride 07/26/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 07/26/2018 R.N.Staff Time 5.25 335.27 335.27 Stacey Neese 07/26/2018 MD Staff Time 4.00 721.00 721.00 Dr.Sandlin 07/27/2018 M.A.Staff Time 5.40 155.74 155.74 Kimberly Pride 07/27/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese 07/27/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/27/2018 N.P.Staff Time 5.00 580.30 580.30 Barry Sandlin 07/27/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 07/30/2018 R.N.Staff Time 8.00 510.88 510.88 McCain 07/30/2018 M.A.Staff Time 9.60 276.86 276.86 Kimberly Pride 07/30/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 07/30/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 07/30/2018 Health Coach Staff Time 7.00 461.44 '461.44 Kristin Hullett 07/31/2018 M.A.Staff Time 8.63 248.89 248.89 Kimberly Pride 07/31/2018 R.N.Staff Time 9.00 574.74 574.74 Stacey Neese 07/31/2018 N.P.Staff Time 5.00 580.30 580.30 Candice Hamilton 07/31/2018 N.P.Staff Time 5.25 609.32 609.32 Tina Nitsos Invoice# 763711 (continued)page 5 Service Date Descri tp ion Quantity Charge Recelp Adjust Balance CITYCARO Invoice# 763711 Balance Due: 42635.37 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK