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Home My WebLink About330702 10/02/18 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 $72,921.05 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 764032 50-239.90 $165.00 1 hereby certify that the attached invoice(s),or 9/30/18 764032 Onsite Wellness UDS Sept 2018 $165.00 301 301 301 301 764068 50-239.90 $40,343.04 bill(s)is(are)true and correct and that the 9/30/18 764068 Onsite Staff Time Sept 2018 $40,343.04 301 1 1 301 materials or services itemized thereon for 301 1 301 764069 50-239.90 $1,238.20 9/30/18 764069 Onsite PEPM Sept 2018 $1,238.20 301 301 which charge is made were ordered and 301 301 764106 50-239.90 $30,340.51 received except 9/30/18 764106 Onsite Misc Sept 2018 $30,340.51 301 301 301 301 764135 50-239.90 $834.30 9/30/18 764135 Onsite Billing Sept 2018 $834.30 301 301 301 301 Tuesday, October 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 3j1 Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice September 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Wellness UDS/Sept.2018 1 Civic Square Carmel,IN 46032- Invoice# 764032 Service Date Description Quantity Charge Recei Ad"US Balance 08/17/2018 Quick Read UDS/6panel 15.00 08/20/2018 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit OCT 0 2 zom Invoice# 764032(continued)page 2 Service Date Description n i Charae Recei Adiust Balance 165.00 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 September 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Staff Time/Sept.2018 1 Civic Square Carmel,IN 46032- Invoice# 764068 Service Date Description Quanti Charge Recei Ad"Us Balance 09/04/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 09/04/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/04/2018 R.N.Staff Time 9.75 622.64 622.64 Stacey Neese 09/04/2018 M.A.Staff Time 8.33 240.24 240.24 Kimberly Pride 09/05/2018 M.A.Staff Time 5.40 155.74 155.74 Elizabeth Herald 09/05/2018 Health Coach Staff Time 1.50 98.88 98.88 Kristin Hullett 09/05/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos 09/05/2018 MD Staff Time 2.00 360.50 360.50 Geraldine Darroca 09/05/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/05/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 09/05/2018 M.A.Staff Time 8.15 235.05 235.05 Kimberly Pride 09/06/2018 MD Staff Time 4.00 721.00 721.00 Dr.Moody 09/06/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 09/06/2018 M.A.Staff Time 4.20 121.13 121.13 Kimberly Pride 09/07/2018 Health Coach Staff Time 3.50 230.72 230.72 Kristin Hullett 09/07/2018 N.P.Staff Time 5.75 667.35 667.35 Tina Nitsos TOP OCT 02 2018 t Invoice# 764068(continued)page 2 Service Date DescriptionQuant! Charge Recei Ad"Us Balance 09/07/2018 R.N.Staff Time 5.75 367.20 367.20 Stacey Neese 09/07/2018 M.A.Staff Time 5.20 149.97 149.97 Kimberly Pride 09/10/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 09/10/2018 N.P.Staff Time 4.25 493.26 493.26 Tina Nitsos 09/10/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/10/2018 R.N.Staff Time 10.25 654.57 654.57 Stacey Neese 09/10/2018 M.A.Staff Time 8.05 232.16 232.16 Kimberly Pride 09/11/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 09/11/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/11/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 09/11/2018 M.A.Staff Time 8.20 236.49 236.49 Kimberly Pride 09/12/2018 M.A.Staff Time 5.00 144.20 144.20 Maria Collins 09/12/2018 N.P.Staff Time 9.00 1,044.54 1044.54 Tina Nitsos 09/12/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/12/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 09/12/2018 M.A.Staff Time 8.25 237.93 237.93 Kimberly Pride 09/13/2018 MD Staff Time 4.00 721.00 721.00 Dr.Moody 09/13/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 09/13/2018 M.A.Staff Time 4.20 121.13 121.13 Kimberly Pride 09/14/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 09/14/2618 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 09/14/2018 R.N.Staff Time 5.50 351.23 351.23 Stacey Neese 09/14/2018 M.A.Staff Time 5.10 147.08 147.08 Kimberly Pride 09/17/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody Invoice# 764068(continued)page 3 Service Date Description Quanti Charae Recei Ad"Us Balance 09/17/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 09/17/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos 09/17/2018 R.N.Staff Time 10.00 638.60 638.60 Stacey Neese 09/17/2018 M.A.Staff Time 7.45 214.86 214.86 Kimberly Pride 09/18/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/18/2018 N.P.Staff Time 5.75 667.35 667.35 Tina Nitsos 09/18/2018 R.N.Staff Time 4.00 255.44 255.44 Stacey Neese 09/18/2018 R.N.Staff Time 2.47 157.73 157.73 Cheretha Benson 09/18/2018 M.A.Staff Time 9.50 273.98 273.98 Kimberly Pride 09/19/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/19/2018 N.P.Staff Time 9.25 1,073.56 1073.56 Tina Nitsos, 09/19/2018 R.N.Staff Time 9.75 622.64 622.64 Stacey Neese 09/19/2018 M.A.Staff Time 5.90 170.16 170.16 Elizabeth Herald 09/19/2018 M.A.Staff Time 7.58 218.61 218.61 Kimberly Pride 09/20/2018 MD Staff Time 4.00 721.00 721.00 Dr.Moody 09/20/2018 R.N.Staff Time 4.75 303.34 303.34 Stacey Neese 09/20/2018 M.A.Staff Time 4.20 121.13 121.13 Kimberly Pride 09/21/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 09/21/2018 N.P.Staff Time 5.50 638.33 638.33 Tina Nitsos 09/21/2018 R.N.Staff Time 6.00 383.16 383.16 Stacey Neese 09/21/2018 M.A.Staff Time 4.20 121.13 121.13 Kimberly Pride 09/24/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/24/2018 Health Coach Staff Time 7.00 461.44 461.44 Kristin Hullett 09/24/2018 N.P.Staff Time 4.50 522.27 522.27 Tina Nitsos Invoice# 764068(continued)page 4 Service Date Description Quant! Charge Recei Ad'us Balance 09/24/2018 R.N.Staff Time 9.25 590.71 590.71 Stacey Neese 09/24/2018 M.A.Staff Time 7.62 219.76 219.76 Kimberly Pride 09/25/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/25/2018 N.P.Staff Time 5.75 667.35 667.35 Tina Nitsos 09/25/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 09/25/2018 M.A.Staff Time 8.23 237.35 237.35 Kimberly Pride 09/26/2018 MD Staff Time 5.00 901.25 901.25 Dr.Moody 09/26/2018 N.P.Staff Time 8.50 986.51 986.51 Tina Nitsos 09/26/2018 R.N.Staff Time 9.50 606.67 606.67 Stacey Neese 09/26/2018 M.A.Staff Time 5.28 152.28 152.28 Elizabeth Herald 09/26/2018 M.A.Staff Time 8.15 235.05 235.05 Kimberly Pride 09/27/2018 MD Staff Time 4.00 721.00 721.00 Dr.Moody 09/27/2018 R.N.Staff Time 4.50 287.37 287.37 Stacey Neese 09/27/2018 M.A.Staff Time 4.30 124.01 124.01 Kimberly Pride 09/28/2018 Health Coach Staff Time 5.00 329.60 329.60 Kristin Hullett 09/28/2018 N.P.Staff Time 5.75 667.35 667.35 Tina Nitsos 09/28/2018 R.N.Staff Time 6.50 415.09 415.09 Stacey Neese 09/28/2018 M.A.Staff Time 5.00 144.20 144.20 Barbara Brummel CITYCARO Invoice# 764068 Balance Due: 40343.04 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 September 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite PEPM/Sept.2018 1 Civic Square Carmel,IN 46032- Invoice# 764069 Service Date Description Quanti Charge Receip Ad'us Balance 09/01/2018 Monthly Wellness PEPM 604.00 1,238.20 1238.20 CITYCARO Invoice# 764069 Balance Due: 1238.20 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK Subrnitted OCT 02 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 September 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Misc.Onsite/Sept.2018 1 Civic Square Carmel,IN 46032- Invoice# 764106 Service Date Description anti Charge Recelp Aftal Balance 08/17/2018 AS Medical Solutions Mail-In Meds 1.00 5,971.02 5971.02 08/21/2018 AS Medical Solutions Clinic Meds 1.00 22.91 22.91 08/22/2018 AS Medical Solutions Clinic Meds 1.00 12.05 12.05 08/29/2018 AS Medical Solutions Clinic Meds 1.00 431.98 431.98 08/31/2018 Onsite Lab Charges 1.00 5,380.72 5380.72 August 2018 Labs 09/01/2018 Utility Expenses 1.00 572.59 572.59 09/01/2018 Building Expenses 1.00 1,086.87 1086.87 09/01/2018 Lease Expense 1.00 4,316.05 4316.05 09/04/2018 AS Medical Solutions Clinic Meds 1.00 1,315.45 1315.45 09/06/2018 AS Medical Solutions Mail-In Meds 1.00 2,883.64 2883.64 09/06/2018 AS Medical Solutions Clinic Meds 1.00 989.96 989.96 09/12/2018 AS Medical Solutions Clinic Meds 1.00 66.28 66.28 09/13/2018 AS Medical Solutions Mail-In Meds 1.00 6,834.67 6834.67 09/14/2018 AS Medical Solutions Clinic Meds 1.00 433.36 433.36 09/18/2018 AS Medical Solutions Clinic Meds 1.00 22.96 22.96 CITYCARO Invoice# 764106 Balance Due: 30340.51 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK S bu as1,ed T OCT 0 2 2018 Clerk u r easku ` r Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax I D# 20-0994452 Invoice September 30, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite On-Site Billing/Sept.2018 1 Civic Square Carmel,IN 46032- Invoice# 764135 Service Date DescriptionQuant! Charge Receip Ad'us Balance 09/01/2018 Onsite Operating Supplies 1.00 465.30 465.30 September 2018 Supplies 09/01/2018 Onsite Facility Operations 1.00 369.00 369.00 September 2018 Facility Charges CITYCARO Invoice# 764135 Balance Due: 834.30 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK OCT 02 2018