summary patient/guarantor balance and aging report...4 summary patient/guarantor balance and_aging...
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Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Billed INS. Paid Patient/Guarantor Paid Adj. Amount Outstanding
Case Type: PRIVATE/GROUP HEALTH INSURANCE PLAN
Patient
Lopez, Mabel B 270.00 80.65 0.00 158.94 30.41
Hampton, Peggy E 650.00 302.01 0.00 270.94 77.05
Nash, Minnie J 250.00 70.00 0.00 150.00 30.00
Cruz, Lilian J 600.00 329.00 0.00 256.00 15.00
Brown, Nicole E 10.00 0.00 0.00 6.00 4.00
Ong, Anita R 2,750.00 184.97 51.72 2,450.03 63.28
Horne, Danielle M 300.00 74.84 20.00 200.16 5.00
Friesen, Sonia R 50.00 0.00 0.00 48.00 2.00
Kissee, Marlene A 300.00 9.84 25.00 200.16 65.00
Wong, Patricia J 550.00 110.78 0.00 411.52 27.70
Collado, Jo P 190.00 24.15 0.00 135.85 30.00
Bryan, Sarah D 300.00 93.00 0.00 192.00 15.00
Brush, Wendy J 250.00 94.00 0.00 141.00 15.00
Robertson, Peggy J 300.00 25.72 6.48 248.55 19.25
Goins, Mary B 60.00 0.00 0.00 54.00 6.00
Darling, Nancy A 350.00 126.00 0.00 194.00 30.00
Howell, Kimberly R 100.00 79.95 0.00 16.92 3.13
Chau, Karen D 100.00 32.00 0.00 53.00 15.00
Harper, Brandi D 570.00 0.00 18.00 366.69 185.31
Lowery, Carl R 450.00 202.42 0.00 239.00 8.58
Wolf, Bernice R 5,350.00 2,599.19 4.62 2,390.17 356.02
McVay, Tessa M 250.00 94.00 0.00 141.00 15.00
Parker, Stephanie J 250.00 8.13 40.33 151.87 49.67
Halcomb, Betty R 10.00 0.00 0.00 7.59 2.41
Carty, Michiko R 600.00 0.00 0.00 417.64 182.36
Johnson, Raquel P 250.00 86.00 0.00 144.00 20.00
Chiang, Joy N 650.00 307.99 15.00 270.60 56.41
Parker, Ming Z 250.00 86.00 0.00 144.00 20.00
Kelley, Charleen J 50.00 0.00 0.00 48.00 2.00
Armstead, Abby W 2,350.00 862.81 60.00 1,267.59 159.60
Abston, Megan D 550.00 87.10 0.00 375.79 87.11
Richards, Lisa B 300.00 96.00 0.00 189.00 15.00
Plum, Marina J 100.00 53.29 0.00 16.71 30.00
Burt, Jacqueline R 610.00 0.00 0.00 407.72 202.28
Hall, Mary R 100.00 66.15 0.00 16.97 16.88
Byard, Kathleen B 2,785.00 632.56 15.16 1,994.29 142.99
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Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Anderson, Rachel J 350.00 80.00 25.00 210.00 35.00
Armwood, Ernestine B 100.00 0.00 0.00 96.30 3.70
Gonzalez, Eleanor W 550.00 78.68 0.00 392.63 78.69
Sterling, Livia T 100.00 66.15 14.75 16.97 2.13
Alger, Michele R 650.00 5.46 0.00 347.50 297.04
Estes, Tiffany B 300.00 96.00 0.00 189.00 15.00
Carlos, Ofelia T 1,085.00 0.00 0.00 805.95 279.05
Joyner, Jaclyn C 300.00 29.23 15.00 241.53 14.24
Cowen, Constance E 300.00 96.00 0.00 189.00 15.00
Lambert, Sandra D 300.00 49.92 30.00 200.16 19.92
Johnson, Mildred R 100.00 60.05 0.00 19.95 20.00
Ware, Susana J 550.00 0.00 15.00 379.24 155.76
Place, Jocelyn R 550.00 0.00 0.00 352.03 197.97
Lee, Terri J 100.00 0.00 51.43 47.67 0.90
Barton, Holly A 150.00 50.00 0.00 90.00 10.00
Welch, Roxanne W 250.00 94.00 0.00 141.00 15.00
Denn, Doris H 2,200.00 37.59 100.00 1,196.03 866.38
Wilkie, Merilyn R 250.00 51.35 32.30 163.65 2.70
Everett, Jennifer D 450.00 87.54 12.73 314.59 35.14
Barbara, Mary R 150.00 0.00 0.00 92.80 57.20
Pike, Janice R 1,925.00 256.57 30.00 1,270.92 367.51
Thompson, Victoria G 800.00 87.10 35.00 587.05 90.85
Elam, Brenda F 100.00 82.03 0.00 16.97 1.00
May, Sara J 2,200.00 500.87 0.30 1,573.90 124.93
Bogle, Jamie E 50.00 0.00 0.00 48.00 2.00
Shaw, Jill G 350.00 51.53 0.00 283.47 15.00
Bruce, Sandra E 550.00 0.00 25.00 352.03 172.97
McMahan, Socorro R 250.00 0.00 0.00 193.74 56.26
Hansen, Delores W 50.00 0.00 0.00 48.00 2.00
Sheffield, Erin D 100.00 6.15 0.00 92.31 1.54
Belisle, Jane J 10.00 0.00 0.00 6.00 4.00
Hume, Katrina P 50.00 0.00 0.00 48.00 2.00
Dow, Patty A 300.00 9.84 20.00 200.16 70.00
Redington, Kathy H 1,500.00 0.00 2.05 1,026.44 471.51
Smith, Sherri J 250.00 94.00 3.00 141.00 12.00
Greer, Patricia D 740.00 221.25 0.00 463.47 55.28
Winder, Michaela R 250.00 51.35 0.00 163.65 35.00
Gandy, Jean M 425.00 100.00 25.00 265.00 35.00
Forney, Mary A 125.00 30.00 25.00 65.00 5.00
Carlson, Stephanie J 650.00 302.01 0.00 270.94 77.05
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Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Antonucci, Mary R 1,750.00 228.41 40.00 1,230.40 251.19
Sinclair, Hien A 150.00 39.39 0.00 90.61 20.00
Campbell, Sandee A 325.00 96.75 0.00 208.25 20.00
Guthrie, Eleanor M 100.00 39.53 0.00 16.43 44.04
Gomez, Maria B 1,000.00 328.99 0.00 587.08 83.93
Mock, Rochelle J 250.00 94.00 11.00 141.00 4.00
Blanchard, Monica C 250.00 87.05 0.00 142.95 20.00
Schroeder, Esther M 60.00 0.00 0.00 54.00 6.00
Crayton, Sarah M 310.00 92.03 0.00 207.75 10.22
Smith, Teresa K 350.00 85.25 0.00 234.75 30.00
Arndt, Tracey W 250.00 86.00 0.00 144.00 20.00
Kogut, Brandi R 1,300.00 12.10 64.41 839.57 383.92
Foote, Virginia C 300.00 26.68 35.00 233.32 5.00
Dixon, Helen R 125.00 32.15 0.00 89.27 3.58
McAlister, Jacqueline P 75.00 28.62 0.00 26.38 20.00
Darby, Amy M 300.00 29.23 0.55 241.53 28.69
Carter, Frances D 5,450.00 1,739.34 39.55 192.41 3,478.70
Sweeten, Anna P 250.00 0.00 0.00 205.98 44.02
Craft, Sharon S 360.00 54.38 0.00 290.62 15.00
Neal, Helen J 550.00 49.49 0.00 338.15 162.36
Sievers, Velma R 50.00 0.00 0.00 47.76 2.24
Brundidge, Arlette M 50.00 0.00 0.00 48.00 2.00
Marshall, Nellie C 300.00 0.00 30.00 233.32 36.68
Tores, Anne E 150.00 75.41 0.00 54.59 20.00
Brown, Joyce J 350.00 126.00 0.00 194.00 30.00
Heaps, Joann S 250.00 0.00 25.00 211.26 13.74
West, Wei H 250.00 94.00 7.00 141.00 8.00
Hendrix, Kathryn T 940.00 170.00 0.00 570.00 200.00
Hayne, Barbara O 250.00 94.00 9.00 141.00 6.00
McManus, Ada W 300.00 75.00 0.00 200.00 25.00
Gibbons, Latoria Z 350.00 93.00 0.00 242.00 15.00
Lawrence, Lucille R 550.00 0.00 15.69 352.03 182.28
Burchfield, Geneva D 550.00 0.00 40.00 372.28 137.72
Schneider, Jillian R 10.00 0.00 0.00 6.00 4.00
Hixon, Marguerite D 250.00 66.69 21.00 152.31 10.00
Culler, Nicole J 400.00 60.00 0.00 240.00 100.00
Martinez, Teresa J 550.00 87.10 0.00 375.79 87.11
Freeman, Cheryl A 300.00 9.84 50.00 200.16 40.00
Woods, Graciela E 550.00 0.00 0.00 352.03 197.97
Butler, Joyce R 300.00 137.27 3.78 147.48 11.47
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Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Bentley, Virginia A 75.00 4.92 25.00 40.08 5.00
Tucker, Shirley J 350.00 88.10 0.00 241.90 20.00
Martinez, Jenny J 250.00 86.00 0.00 144.00 20.00
Rollins, Gladys D 350.00 88.10 0.00 241.90 20.00
Taylor, Ruth J 350.00 108.00 0.00 202.00 40.00
Price, Elizabeth G 140.00 11.65 0.00 88.35 40.00
Leal, Virginia K 650.00 171.48 0.00 424.95 53.57
Sorensen, Maria R 75.00 4.39 20.00 45.61 5.00
Brackin, Cynthia G 150.00 98.42 0.00 41.58 10.00
Slate, Sabrina R 50.00 0.00 0.00 47.90 2.10
Anderson, Pamela M 367.00 88.10 0.00 241.90 37.00
Mark, Mary L 300.00 0.00 48.56 248.57 2.87
Clarke, Teresa A 100.00 66.15 0.00 16.97 16.88
Prentiss, Mary R 40.00 0.00 0.00 30.50 9.50
Davis, Brittany E 160.00 32.00 0.00 108.50 19.50
Isenberg, Blanca B 10.00 0.00 0.00 6.00 4.00
Silva, Elizabeth P 300.00 94.00 0.00 189.00 17.00
Williams, Sylvia L 300.00 49.92 25.76 200.16 24.16
Fortune, Darla W 50.00 0.00 0.00 47.90 2.10
Murphy, Krystyna M 100.00 15.00 20.00 45.00 20.00
Hay, Julie K 100.00 66.15 0.00 16.97 16.88
McCarty, Amber D 450.00 66.19 0.00 353.81 30.00
Thrasher, Sandra D 100.00 66.15 0.00 16.97 16.88
Bemis, Sharon J 4,650.00 557.20 0.00 3,441.00 651.80
Gregory, Marion J 550.00 0.00 15.00 372.28 162.72
Butler, India R 250.00 96.00 9.00 141.00 4.00
Davis, Maya J 650.00 186.77 0.00 268.58 194.65
Thomas, Karen J 100.00 9.00 0.00 41.00 50.00
Martinez, Grace S 550.00 1.31 40.00 352.03 156.66
Moore, Angie A 650.00 111.50 0.00 408.50 130.00
Jones, Frances B 100.00 78.74 0.00 17.92 3.34
Weatherholt, Erline R 50.00 0.00 0.00 48.09 1.91
Lord, Loretta J 700.00 140.24 0.00 519.76 40.00
Semon, Patrica M 550.00 158.37 0.00 352.03 39.60
Mandell, Carmen P 550.00 178.18 0.00 352.03 19.79
Wilson, Eleanor J 600.00 179.89 0.00 400.13 19.98
Johnson, Brynn R 250.00 8.13 50.00 151.87 40.00
Myricks, Margarita J 550.00 0.00 55.00 352.03 142.97
Phillips, Aurora V 550.00 110.78 0.00 414.29 24.93
Vigil, Mary J 50.00 0.00 0.00 48.00 2.00
6
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Schwab, Audrey D 1,750.00 377.03 20.03 1,254.29 98.65
Buchanan, Jean E 560.00 180.35 9.74 359.62 10.29
Loomis, Gracie K 300.00 35.50 40.00 214.50 10.00
Grace, Jennifer S 300.00 0.00 20.69 200.16 79.15
Whipple, Carrie O 11,675.00 2,992.44 25.00 8,525.06 132.50
King, Tammie J 100.00 32.00 0.00 53.00 15.00
Bond, Karla L 155.00 24.03 0.00 94.96 36.01
Crum, Christie G 600.00 0.00 77.10 400.13 122.77
Jackson, Evelyn J 550.00 0.00 20.00 412.93 117.07
Paquette, Stephanie W 7,100.00 2,975.53 0.00 3,760.38 364.09
Foster, Rosalind R 100.00 77.16 0.00 17.92 4.92
Johnson, Odell N 350.00 108.00 0.00 202.00 40.00
Marcum, Rena R 100.00 0.00 0.00 15.62 84.38
Faulk, Maria C 105.00 5.90 0.00 63.77 35.33
Green, Susan R 550.00 84.21 15.00 375.79 75.00
Lamp, Linda S 60.00 0.00 0.00 55.65 4.35
Uren, Lola J 2,860.00 0.00 165.74 2,386.96 307.30
Gibbs, Beatrice P 10.00 0.00 0.00 6.00 4.00
Greenfield, Melissa R 550.00 0.00 55.28 372.28 122.44
Huntley, Beverly J 250.00 94.00 0.00 141.00 15.00
Garcia, Carla S 300.00 9.84 60.00 200.16 30.00
Bateman, Susan J 50.00 0.00 0.00 48.00 2.00
Craig, Karen T 300.00 52.86 0.00 212.14 35.00
Carnes, Avis E 250.00 71.99 0.00 163.01 15.00
Brown, April H 625.00 171.00 0.00 424.00 30.00
Campbell, Virginia L 10.00 0.00 0.00 6.00 4.00
Grove, Naomi R 455.00 88.00 17.90 276.50 72.60
Hardy, Jacqueline J 650.00 219.00 0.00 386.00 45.00
Chou, Zonia C 420.00 26.43 0.00 359.74 33.83
Detrick, Frances G 250.00 8.13 15.00 151.87 75.00
Palmer, Joan M 150.00 32.00 0.00 101.00 17.00
Dixon, Yvonne J 100.00 66.15 0.00 16.97 16.88
McCreery, Margaret G 550.00 0.00 70.00 412.93 67.07
Collins, Alice R 650.00 0.00 15.00 428.43 206.57
Bullard, Sandra J 300.00 70.29 12.73 212.14 4.84
Booth, Ethel C 125.00 98.00 0.00 2.00 25.00
Ruybal, Paula R 450.00 0.00 30.00 230.37 189.63
Rundell, Helen T 100.00 32.00 0.00 53.00 15.00
Baldree, Rose H 550.00 0.00 0.00 352.03 197.97
Childs, Helen J 250.00 91.04 0.00 138.96 20.00
7
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Martinez, Gloria H 310.00 97.14 0.00 197.86 15.00
Collins, Peggy G 1,950.00 0.00 35.00 1,745.00 170.00
Morris, Anita T 10.00 0.00 0.00 7.15 2.85
Cook, Kelli R 50.00 0.00 0.00 48.00 2.00
Lucas, Mary E 300.00 50.01 2.24 233.32 14.43
Steere, Amy D 100.00 17.33 25.00 47.67 10.00
Schneider, Nellie B 250.00 86.04 0.00 138.96 25.00
Davis, Colleen S 300.00 70.50 0.00 214.50 15.00
Helton, Evelyn J 175.00 51.29 0.00 110.89 12.82
Gilbert, Deborah D 250.00 0.00 35.69 205.98 8.33
Williams, Vickie T 550.00 0.00 0.00 379.24 170.76
Hackett, Jaime A 550.00 158.37 13.78 352.03 25.82
McLean, Amanda E 300.00 86.00 0.00 194.00 20.00
McCarty, Holli B 550.00 139.37 30.00 375.79 4.84
Sipe, Ann G 350.00 10.50 0.00 262.59 76.91
Johnson, Cheryl M 60.00 0.00 0.00 55.65 4.35
Flower, Maxine P 300.00 88.10 12.65 194.00 5.25
McElroy, Marisa W 250.00 8.13 30.00 151.87 60.00
Mapp, Colleen C 260.00 90.49 0.00 159.46 10.05
Limon, Janice R 400.00 0.00 45.05 239.41 115.54
Robinson, Vivian S 750.00 172.97 0.00 461.71 115.32
Taylor, Marg J 1,060.00 242.05 0.00 757.43 60.52
Larocco, Elsie R 450.00 135.81 0.00 291.24 22.95
Hawn, Patricia M 300.00 45.50 25.00 214.50 15.00
Goldberg, Alice S 250.00 86.00 0.00 144.00 20.00
Sneller, Debra H 700.00 6.05 0.00 478.23 215.72
Bennett, Elizabeth V 100.00 0.00 0.00 15.62 84.38
Munsey, Evelyn W 300.00 35.50 0.00 214.50 50.00
Addison, Barbara M 100.00 0.00 0.00 54.43 45.57
Jefferson, Tina B 300.00 9.84 40.76 200.16 49.24
Ramos, Cleo S 760.00 0.00 0.00 500.52 259.48
Moore, Regan D 550.00 98.98 0.00 352.03 98.99
Rothenberg, Sally W 650.00 183.81 0.00 420.24 45.95
Bland, Cecilia K 250.00 51.35 0.00 163.65 35.00
Bourgault, Ernestine E 100.00 3.06 0.00 96.40 0.54
Brooks, Rachelle J 60.00 0.00 0.00 54.00 6.00
Rucker, Barbara K 250.00 94.00 0.00 141.00 15.00
Garten, Angela D 5,250.00 1,163.00 1,230.04 2,342.50 514.46
Gagnon, Annie T 375.00 23.24 20.00 241.76 90.00
Donato, Margaret C 2,700.00 204.62 75.00 2,018.37 402.01
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Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Sanchez, Margaret S 250.00 0.00 0.00 189.20 60.80
Battaglia, Elsa M 150.00 52.44 0.00 84.44 13.12
Donahue, Erica R 1,110.00 252.16 0.00 739.76 118.08
McCarthy, Christine L 50.00 0.00 0.00 48.10 1.90
Inniss, Janis F 100.00 29.31 0.00 45.69 25.00
Wieland, Dora T 150.00 0.00 24.50 90.00 35.50
Miller, Eileen A 250.00 91.26 0.00 143.74 15.00
Parker, Angela W 60.00 0.00 0.00 55.65 4.35
Trent, Linda G 1,150.00 6.05 70.00 757.04 316.91
Ryder, Gloria T 100.00 21.05 0.00 53.95 25.00
Widener, Sandra R 610.00 0.00 0.00 407.72 202.28
Burkett, Maryann K 10.00 2.17 0.00 7.59 0.24
Stovall, Martha A 250.00 8.13 0.00 151.87 90.00
Epperson, Dana D 2,150.00 100.48 136.75 1,627.26 285.51
Cowley, Davida W 50.00 0.00 0.00 48.00 2.00
Otter, Julia J 50.00 0.00 0.00 48.00 2.00
Gribble, Joyce C 100.00 0.00 0.00 0.00 100.00
Muniz, Lisa J 100.00 66.15 0.00 16.97 16.88
Shoop, Deborah E 350.00 110.60 0.00 211.18 28.22
Vazquez, Margaret J 1,550.00 35.62 70.00 1,306.60 137.78
Thompson, Marcia R 150.00 98.05 0.00 41.95 10.00
Warren, Trinidad A 3,050.00 715.76 2.86 2,083.37 248.01
Blackman, Beula F 550.00 80.68 0.00 249.15 220.17
Kirschner, Callie D 100.00 32.00 0.00 53.00 15.00
Glidewell, Geraldine G 350.00 93.00 0.00 240.00 17.00
McLelland, Megan D 300.00 26.68 39.97 233.32 0.03
Moreno, April D 525.00 110.00 50.00 325.00 40.00
Webb, Christina J 60.00 0.00 0.00 55.65 4.35
Dean, Mindy B 550.00 139.37 0.00 375.79 34.84
Jacobi, Rafaela C 250.00 8.13 80.00 151.87 10.00
Nichols, Elizabeth P 250.00 86.00 0.00 144.00 20.00
Martinez, Stephanie C 550.00 159.96 0.00 372.28 17.76
Everhart, Shannon R 300.00 69.92 10.00 210.08 10.00
Fontenot, Tami H 550.00 0.00 25.00 379.24 145.76
Moore, Chung N 550.00 121.96 0.00 375.79 52.25
Torkelson, Veronica D 300.00 0.00 0.00 119.22 180.78
Ellison, Angela D 300.00 86.00 17.90 194.00 2.10
Rust, Shirley M 1,500.00 215.05 30.00 1,234.95 20.00
Wolford, Stella R 550.00 0.00 80.00 352.03 117.97
Ranieri, Katie K 550.00 159.95 0.00 372.28 17.77
9
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Buckner, Ingrid K 350.00 51.53 0.00 283.47 15.00
Voegele, Jessica M 800.00 135.72 6.83 497.03 160.42
Hoskins, Nieves J 250.00 70.00 0.00 150.00 30.00
Thole, Ebony J 350.00 49.30 0.00 260.34 40.36
Goodman, Nancy J 300.00 70.29 15.03 212.14 2.54
Sherman, Tommie J 550.00 0.00 55.69 352.03 142.28
Herron, Kelly M 100.00 79.65 0.00 16.97 3.38
Barlowe, Barbara N 100.00 32.59 0.00 42.41 25.00
Cunningham, Shelia F 350.00 95.00 0.00 240.00 15.00
McDaniel, Tracy L 2,575.00 0.00 0.00 0.00 2,575.00
Phelps, Pamela R 50.00 0.00 0.00 48.00 2.00
Odea, Alta J 300.00 0.00 0.00 233.32 66.68
Walker, Latashia R 400.00 88.00 14.76 282.00 15.24
Clark, Claire R 850.00 128.99 40.26 592.06 88.69
Elias, Kara J 600.00 178.18 0.00 400.23 21.59
Anaya, Anna D 100.00 66.15 0.00 16.97 16.88
Flores, Heather J 300.00 86.00 0.00 194.00 20.00
Donovan, Lela M 910.00 0.00 0.00 609.00 301.00
Morris, Debra J 300.00 70.00 0.00 200.00 30.00
Johns, Andrea T 100.00 27.33 10.00 47.67 15.00
Box, Sarah L 650.00 186.00 0.00 432.00 32.00
Lazenby, Judy J 50.00 0.00 0.00 48.00 2.00
Moore, Marie F 2,500.00 0.00 262.91 2,000.00 237.09
Ward, Jesse F 550.00 69.23 0.00 411.52 69.25
Gomez, Helen M 50.00 0.00 0.00 48.00 2.00
France, Aubrey S 300.00 52.86 32.14 212.14 2.86
Lugo, Lori P 550.00 0.00 0.00 379.24 170.76
Jordan, Kristina C 250.00 94.00 0.00 141.00 15.00
Silver, Sonya P 100.00 65.40 15.50 17.92 1.18
Sager, Betty C 1,300.00 318.39 45.62 837.76 98.23
Swan, Virginia M 300.00 35.50 0.00 214.50 50.00
Davis, Theresa D 50.00 0.00 0.00 48.00 2.00
Ryans, Clara G 775.00 248.00 0.00 469.00 58.00
Phelps, Gwendolyn J 550.00 79.65 0.00 352.03 118.32
Emerson, Jane L 60.00 3.45 0.00 55.69 0.86
Crabtree, Martha T 100.00 0.00 0.00 96.00 4.00
Floyd, Jennie R 250.00 96.00 5.00 141.00 8.00
Stephens, Helene E 50.00 0.00 0.00 47.90 2.10
Jewell, Karen B 650.00 240.16 0.00 383.15 26.69
Davidson, Marjorie W 300.00 60.50 0.00 214.50 25.00
10
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Dixon, Ella L 100.00 3.23 0.00 95.96 0.81
Kellerman, Christina S 300.00 94.00 0.00 189.00 17.00
Pappas, Amy H 50.00 0.00 0.00 48.10 1.90
McCabe, Martha J 300.00 90.65 0.00 184.35 25.00
McNeil, Linda L 1,850.00 311.06 11.06 1,392.31 135.57
Suggs, Lorna R 260.00 81.94 6.77 76.21 95.08
Terry, Elizabeth A 250.00 94.00 11.00 141.00 4.00
Winslow, Wanda G 550.00 0.00 25.00 352.03 172.97
Bell, Joy J 1,500.00 0.00 0.00 1,186.57 313.43
McMaster, Norma J 550.00 82.82 20.00 378.66 68.52
Bethel, Susan J 650.00 66.96 0.00 424.95 158.09
Hamilton, Virginia L 250.00 94.00 0.00 141.00 15.00
Bearce, Jina B 1,950.00 0.10 195.09 1,481.10 273.71
Man, Mary B 250.00 94.00 0.00 141.00 15.00
Smalls, Ruby M 650.00 0.00 120.00 397.62 132.38
Kennedy, Rosella J 100.00 17.59 30.00 42.41 10.00
Smith, Frances C 250.00 94.00 0.00 141.00 15.00
Grier, Sarah D 300.00 9.84 20.00 200.16 70.00
Meza, Kristin D 300.00 0.00 0.00 194.41 105.59
Simmons, Marjorie A 100.00 13.50 0.00 61.50 25.00
Cook, Agnes J 550.00 87.10 30.00 375.79 57.11
Cervantes, Geneva D 250.00 94.00 5.00 141.00 10.00
Nichols, Becky T 10.00 0.00 0.00 6.00 4.00
Clover, Lucy W 950.00 334.00 0.00 556.00 60.00
Wilson, Patricia W 60.00 0.00 0.00 55.69 4.31
Robertson, Lorene R 550.00 98.98 20.00 352.03 78.99
Mays, Heather S 300.00 10.50 30.00 214.50 45.00
Whyte, Cynthia C 500.00 16.26 20.00 317.24 146.50
Martin, Annie M 250.00 8.13 0.00 151.87 90.00
Rosenbalm, Martha D 150.00 47.51 0.00 90.61 11.88
Cleary, Marjorie R 250.00 8.13 0.00 151.87 90.00
Koch, Margaret J 4,560.00 638.37 0.00 3,496.77 424.86
Wiser, Lillian T 550.00 139.37 0.00 375.79 34.84
Hodge, Annie J 300.00 81.00 0.00 189.00 30.00
Smith, Marsha A 5,250.00 0.00 1,537.50 2,110.00 1,602.50
Walker, Marian W 40.00 0.00 0.00 32.65 7.35
Waldo, Susan M 800.00 86.81 7.21 544.50 161.48
Shelton, Marjorie R 250.00 134.00 0.00 96.00 20.00
Brass, Lola L 320.00 16.90 0.00 211.26 91.84
Alvarez, Janet N 100.00 0.00 0.00 96.00 4.00
11
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Barnhill, Wanda F 550.00 0.00 2.30 412.93 134.77
Jarrett, Sarah K 60.00 4.59 0.00 54.91 0.50
Moore, Soledad A 650.00 27.59 0.00 414.69 207.72
Smith, Helen T 1,150.00 152.60 0.00 959.25 38.15
Cummins, Dorothy A 205.00 32.50 0.00 142.50 30.00
Sipes, Camille T 300.00 96.00 0.00 189.00 15.00
Brooks, Tracie S 100.00 66.42 0.00 16.97 16.61
Brown, Bonnie L 700.00 0.00 35.00 531.14 133.86
Jacobi, Charlotte D 300.00 93.00 13.00 192.00 2.00
Allison, Leona J 60.00 0.00 0.00 55.69 4.31
Morris, Mary T 100.00 66.15 12.82 16.97 4.06
Kleinman, Minnie R 300.00 43.93 23.32 212.14 20.61
Cruz, Gloria J 250.00 77.73 10.00 138.96 23.31
Archuleta, Jo B 50.00 0.00 0.00 48.00 2.00
Martin, Florence R 250.00 94.00 13.00 141.00 2.00
McKee, Karen C 1,500.00 0.00 20.00 1,136.11 343.89
Hill, Lakisha M 300.00 70.29 0.00 212.14 17.57
Nicholas, Samantha P 250.00 65.00 30.00 150.00 5.00
Snively, Carmen J 250.00 66.26 30.00 143.74 10.00
Capps, Manuela D 50.00 0.00 0.00 48.00 2.00
Ferguson, Rikki S 100.00 47.10 0.00 47.67 5.23
McCall, Agnes C 100.00 47.10 0.00 47.67 5.23
Doucette, Cheryl E 100.00 66.15 0.00 16.97 16.88
Slover, Crystal S 550.00 0.00 0.00 338.15 211.85
Evans, Theresa M 225.00 50.00 25.00 145.00 5.00
Jones, Julie M 3,725.00 199.64 0.00 3,003.18 522.18
Schwarz, Doris E 250.00 51.35 0.00 163.65 35.00
Smith, Kandice J 550.00 0.00 60.00 375.79 114.21
Pope, Jennifer J 125.00 21.24 30.00 63.76 10.00
Howard, Kathryn S 300.00 93.00 0.00 192.00 15.00
Edwards, Amber K 250.00 91.04 0.00 138.96 20.00
Garcia, Jennifer K 6,200.00 2,530.60 0.00 3,265.56 403.84
Battle, Jean C 1,600.00 22.33 20.00 1,173.67 384.00
Bone, Virginia J 60.00 0.00 0.00 54.91 5.09
Gallegos, Anna R 300.00 140.05 0.00 119.95 40.00
McCulley, Maxine R 250.00 8.13 40.00 151.87 50.00
Beasley, Margaret S 250.00 8.13 20.00 151.87 70.00
Seales, Julie M 250.00 53.77 0.00 182.79 13.44
Holbrook, Mary R 300.00 9.84 30.00 200.16 60.00
Ferguson, Dolores L 100.00 66.15 0.00 16.97 16.88
12
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Francis, Samantha G 250.00 94.00 11.00 141.00 4.00
Smith, Heather N 100.00 37.59 0.00 42.41 20.00
Harris, Barbara W 350.00 126.00 0.00 194.00 30.00
Gorham, Shirley J 300.00 79.87 0.00 200.16 19.97
Newell, Martha M 4,150.00 643.34 0.00 3,393.13 113.53
Okeefe, Gail T 610.00 0.00 0.00 407.72 202.28
McCullum, Dorothy M 400.00 84.27 0.00 275.73 40.00
Cintron, Ernestine L 610.00 161.82 0.00 407.72 40.46
Reed, Rose G 500.00 0.00 0.00 341.16 158.84
Myers, Debra W 250.00 94.00 11.00 141.00 4.00
Bennett, Anna W 300.00 49.92 0.99 200.16 48.93
Heffington, Deborah L 100.00 13.71 20.00 46.29 20.00
Rodriguez, Jerri C 100.00 16.05 10.16 53.95 19.84
Eldridge, Terry S 200.00 30.00 25.00 110.00 35.00
Carter, Jodi R 600.00 99.49 0.00 400.13 100.38
Saldana, Beryl J 250.00 100.00 6.50 135.00 8.50
Camacho, Kathy C 150.00 53.41 20.00 71.59 5.00
Obrien, Shira R 100.00 27.33 0.00 47.67 25.00
Kaster, Mary A 500.00 16.26 20.00 303.74 160.00
Wilborn, Aline K 50.00 0.00 0.00 48.10 1.90
Humphrey, Griselda A 100.00 32.00 0.00 53.00 15.00
Iles, Audrey B 450.00 0.00 100.00 247.00 103.00
McBride, Stephanie J 125.00 84.35 0.00 0.65 40.00
Boyd, Nancy J 550.00 0.00 67.60 352.03 130.37
Wilson, Martina G 300.00 0.00 0.00 248.55 51.45
Rogers, Chris J 100.00 0.00 15.21 57.03 27.76
Hogan, Paula D 300.00 70.29 12.73 212.14 4.84
Gonzalez, Dorothy A 300.00 24.95 20.00 225.05 30.00
Plummer, Patricia A 300.00 93.00 0.00 192.00 15.00
Chon, Mildred M 650.00 302.01 0.00 270.94 77.05
Bartley, Ruth J 125.00 54.42 0.00 45.58 25.00
Walker, Christine K 60.00 0.00 0.00 55.69 4.31
Kirkpatrick, Alison Z 200.00 0.00 0.00 140.00 60.00
Fortin, Lila J 550.00 159.95 0.00 372.28 17.77
Roach, Robin W 50.00 0.00 0.00 48.10 1.90
Woodland, Julie C 50.00 0.00 0.00 48.00 2.00
Ulloa, Maye B 300.00 93.00 0.00 192.00 15.00
Muller, Maria D 350.00 80.00 0.00 210.00 60.00
Porter, Nancy B 300.00 0.00 0.00 233.32 66.68
Oberg, Janice R 300.00 86.00 0.00 194.00 20.00
13
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Brooks, Alison W 100.00 32.33 0.00 47.67 20.00
Stevens, Leslie I 300.00 93.00 0.00 192.00 15.00
Litten, Margaret K 200.00 32.00 0.00 149.00 19.00
Frye, Deeann M 450.00 32.59 0.00 307.10 110.31
Saunders, Joyce H 600.00 331.00 9.00 256.00 4.00
Walker, Denise R 550.00 0.00 40.00 352.03 157.97
Cruz, Isabel C 250.00 94.00 14.00 141.00 1.00
Magdaleno, Maria A 550.00 0.00 0.00 379.24 170.76
Garcia, Alicia J 100.00 78.81 0.00 16.97 4.22
Goff, Bernadette R 100.00 22.33 10.00 47.67 20.00
Hess, Bertha T 610.00 0.00 25.00 383.38 201.62
Kurtz, Paula C 1,400.00 214.23 26.06 957.05 202.66
Gates, Sue B 50.00 0.00 0.00 47.90 2.10
Stanford, Karen S 60.00 0.00 0.00 55.52 4.48
Mathews, Elinor D 300.00 65.59 0.00 194.41 40.00
Genest, Miriam W 100.00 60.05 0.00 19.95 20.00
Bigelow, Robin J 250.00 93.00 0.00 137.00 20.00
McFadden, Jewell M 225.00 74.00 13.00 121.00 17.00
Callaghan, Helen J 75.00 14.39 5.00 45.61 10.00
Lambdin, Michelle G 560.00 160.30 0.00 359.62 40.08
Wilkerson, Lisa J 1,800.00 311.16 24.03 1,383.02 81.79
Northcutt, Brenda J 400.00 57.21 2.30 302.50 37.99
Mouzon, Ashlie R 250.00 65.00 0.00 150.00 35.00
Humble, Patricia J 650.00 0.00 0.00 469.96 180.04
Stringer, Alexis R 250.00 94.00 0.00 141.00 15.00
Newton, Faith M 550.00 87.10 0.00 375.79 87.11
Bennett, Herlinda W 350.00 54.78 0.00 281.52 13.70
Larsen, Viola L 525.00 95.00 0.00 409.00 21.00
Clifford, Carol S 400.00 115.60 7.56 255.50 21.34
Florence, Erlinda J 550.00 0.00 0.00 352.03 197.97
Galbraith, Holly T 350.00 113.42 0.00 216.58 20.00
Jones, Phyllis D 560.00 180.35 0.00 359.62 20.03
Pugh, Ethel D 50.00 0.00 0.00 48.00 2.00
Williams, Emily R 350.00 101.26 30.00 188.74 30.00
Light, Amparo E 750.00 0.00 15.67 691.61 42.72
Thomas, Bethany L 6,950.00 2,160.24 417.05 3,889.96 482.75
Bryant, Mary R 625.00 192.00 5.00 401.00 27.00
Haskins, Mary K 550.00 0.00 35.00 378.66 136.34
McCloud, Caridad S 300.00 79.34 16.25 194.41 10.00
McVeigh, Allison G 3,150.00 1,022.76 363.48 1,633.76 130.00
14
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Studer, Audrey C 300.00 96.00 1.00 189.00 14.00
Stafford, Rachelle A 400.00 97.51 0.00 252.49 50.00
Chambers, Terry T 1,500.00 286.00 0.00 1,139.00 75.00
Manke, Nancy N 600.00 329.00 10.00 256.00 5.00
James, Ruby M 350.00 108.00 0.00 202.00 40.00
Gibson, Kay H 300.00 49.92 0.00 200.16 49.92
Bruhn, Margaret H 100.00 27.59 0.00 42.41 30.00
Cozad, Megan R 100.00 66.15 0.00 16.97 16.88
Rice, Danielle A 50.00 0.00 0.00 48.00 2.00
Kelly, Christina M 250.00 0.00 40.00 0.00 210.00
Ray, Sherrill J 100.00 42.33 0.00 47.67 10.00
Baker, Carmon T 265.00 89.48 0.00 153.14 22.38
Thacker, Anne D 1,000.00 235.50 0.00 684.50 80.00
Meltzer, Jamie C 8,250.00 3,042.42 0.00 4,869.54 338.04
Burton, Linda J 50.00 0.00 0.00 48.10 1.90
Scarbrough, Roberta P 650.00 0.00 15.55 429.74 204.71
McNally, Carolyn C 1,150.00 0.00 40.00 859.63 250.37
Allen, Madison J 7,200.00 3,267.88 50.67 3,569.02 312.43
Duffey, Norma J 250.00 94.00 0.00 141.00 15.00
Taylor, Thelma F 350.00 0.00 0.00 279.38 70.62
Ward, Catherine M 7,100.00 3,025.95 32.29 3,317.56 724.20
Burns, Toni V 925.00 283.00 0.00 563.00 79.00
Fraser, Sally J 950.00 287.48 0.00 630.58 31.94
Favreau, Imogene M 550.00 78.68 0.00 392.63 78.69
Taylor, Velma S 250.00 8.13 25.00 151.87 65.00
Bragg, Karen A 550.00 153.68 0.00 379.24 17.08
Delarosa, Jennifer W 335.00 0.00 0.00 0.00 335.00
Brown, Sandra A 55.00 0.00 0.00 41.50 13.50
Judd, Ramona B 100.00 66.15 0.45 16.97 16.43
Torrence, Alisa D 250.00 73.83 0.00 157.71 18.46
Guerrero, Jaime R 250.00 55.34 5.26 180.83 8.57
Heaton, Kimberly G 100.00 29.31 0.00 45.69 25.00
Neal, Anita D 1,925.00 529.00 0.00 1,272.00 124.00
French, Penny M 475.00 0.00 47.30 261.38 166.32
Leroy, Cheyenne D 5,250.00 3,311.29 100.49 1,570.79 267.43
Roberts, Joyce W 150.00 0.00 0.00 144.00 6.00
Harvey, Maria W 550.00 110.78 0.00 411.52 27.70
Hull, Linda W 6,700.00 2,907.39 0.00 2,809.97 982.64
Henry, Patti B 10.00 0.00 0.00 6.85 3.15
Hardesty, Cheryl S 1,275.00 0.00 0.00 802.68 472.32
15
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Terrones, Heather C 8,900.00 1,094.77 0.00 5,641.12 2,164.11
Johnson, Frances S 420.00 2.76 0.00 326.98 90.26
Hall, Louis J 1,150.00 124.06 15.00 740.81 270.13
Heap, Ramona J 550.00 69.23 15.00 411.52 54.25
Fraizer, Francine R 250.00 94.00 11.00 141.00 4.00
Luna, Eleanor T 400.00 70.00 0.00 300.00 30.00
Casey, Melissa J 500.00 79.81 0.00 340.19 80.00
Noah, Louise L 550.00 158.37 0.00 352.03 39.60
Helfrich, Cindy G 650.00 137.64 0.00 330.25 182.11
Taylor, Lucia T 300.00 96.00 0.00 189.00 15.00
Guerra, Tara H 100.00 60.05 0.00 19.95 20.00
Hallam, Emily H 1,200.00 401.01 0.00 698.73 100.26
Big, Patricia A 250.00 86.00 0.00 144.00 20.00
Hernandez, May W 5,250.00 2,935.10 188.01 1,649.92 476.97
Ellis, Alene P 100.00 16.05 0.00 53.95 30.00
Harrison, Lindsay Z 900.00 313.00 10.00 527.00 50.00
Salamone, Barbara C 60.00 0.00 0.00 56.32 3.68
Bradshaw, Allegra J 225.00 42.00 0.00 164.00 19.00
Riley, Leona J 100.00 27.33 0.00 47.67 25.00
Taylor, Debbie T 1,410.00 0.00 72.69 1,005.59 331.72
Harris, Sally A 250.00 70.00 25.00 150.00 5.00
Mann, Angela J 550.00 9.00 0.00 216.00 325.00
McIntyre, Mozelle B 550.00 0.00 0.00 352.03 197.97
Moseley, Cherry J 925.00 0.00 35.00 185.00 705.00
Lobato, Sandra A 300.00 96.00 9.00 189.00 6.00
Price, Michelle J 700.00 149.43 8.72 447.05 94.80
Prentice, Marie S 100.00 0.00 0.00 95.96 4.04
Miller, Debbie R 905.00 0.00 20.00 0.00 885.00
Abbott, Keri T 300.00 26.68 0.00 233.32 40.00
Brown, Katina R 500.00 102.70 62.30 327.30 7.70
Russo, Jeanne R 150.00 0.00 30.00 85.06 34.94
Sullivan, Mary D 50.00 0.00 0.00 47.05 2.95
Johnson, Sharon R 2,300.00 831.23 0.00 1,376.42 92.35
Perham, Nicole T 6,650.00 1,182.95 896.29 3,881.71 689.05
Mowbray, Dina E 5,500.00 2,506.76 0.00 2,714.71 278.53
Pierce, Sheryl S 250.00 94.00 0.00 141.00 15.00
Brunner, Lillian M 50.00 0.00 0.00 48.10 1.90
Mayfield, Courtney K 1,250.00 295.79 0.00 645.27 308.94
Ortega, Margaret J 300.00 70.29 12.73 212.14 4.84
Finkelstein, Edna W 400.00 130.79 0.00 117.67 151.54
16
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Watkins, Jessica F 8,450.00 3,124.48 40.00 4,249.46 1,036.06
Blandon, Charlene T 250.00 60.64 23.09 164.36 1.91
Dobbins, Carol M 6,500.00 1,986.65 15.00 3,652.80 845.55
Vedder, Frances D 50.00 0.00 0.00 48.00 2.00
Ray, Amanda R 310.00 91.25 0.00 198.75 20.00
Shade, Jennifer E 100.00 32.33 0.00 47.67 20.00
Pope, Jessica W 300.00 49.92 0.00 200.16 49.92
Morin, Ruth L 50.00 0.00 0.00 48.00 2.00
Jackson, Virginia J 50.00 0.00 0.00 48.10 1.90
Ramirez, Donna L 250.00 28.06 0.00 121.94 100.00
Parrish, Lily M 300.00 96.00 0.00 189.00 15.00
McKinney, Kay S 50.00 0.00 1.50 48.00 0.50
Fielder, Linda J 1,600.00 402.43 0.00 1,117.57 80.00
Friesen, Tanya J 100.00 20.00 20.00 45.00 15.00
Burpee, Ellen D 100.00 0.00 0.00 95.00 5.00
Figueroa, Alice K 350.00 156.00 0.00 174.00 20.00
Sandoval, Cornelia J 700.00 361.00 0.00 309.00 30.00
Allison, Kathy G 300.00 74.34 17.88 204.59 3.19
Aldridge, Beatrice N 100.00 0.00 20.00 49.60 30.40
Allen, Earline J 500.00 143.54 20.00 296.46 40.00
Rhodes, Amanda C 100.00 5.57 0.00 54.43 40.00
Bartholomew, Laverne A 250.00 79.00 25.00 141.00 5.00
Mathis, Mildred T 550.00 76.73 35.00 379.24 59.03
Green, Rachel M 725.00 205.46 0.00 468.21 51.33
Felix, Ella P 25.00 0.00 0.00 23.00 2.00
Jones, Marion D 250.00 94.00 0.00 141.00 15.00
Abramowitz, Kathleen C 150.00 68.00 0.00 67.00 15.00
Wilcox, Kristina J 300.00 0.00 55.00 214.50 30.50
Taylor, Carmen B 100.00 17.59 35.00 42.41 5.00
Thompson, Dolores G 50.00 0.00 0.00 48.00 2.00
Caraballo, Margaret G 650.00 6.05 25.00 429.74 189.21
Keyes, Joan N 550.00 139.37 0.00 375.79 34.84
Martinez, Brenda T 250.00 85.01 0.00 143.74 21.25
Honore, Nancy W 140.00 0.00 0.00 62.62 77.38
Christofferso, Deborah M 250.00 130.00 11.00 107.00 2.00
McKnight, Lynda T 50.00 0.00 0.00 48.00 2.00
Harris, Patty L 10,100.00 3,718.72 60.00 5,675.21 646.07
Vance, Gail B 250.00 8.13 65.00 151.87 25.00
Byrne, Dorothy B 250.00 127.00 2.41 103.00 17.59
Buckles, Teresa E 250.00 94.00 10.00 141.00 5.00
17
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Parker, Betty K 250.00 86.00 0.00 144.00 20.00
Nieves, Doris D 55.00 0.00 0.00 41.50 13.50
Mulholland, Flora C 50.00 0.00 0.00 47.05 2.95
Bryan, Rita F 1,900.00 504.50 0.00 1,195.50 200.00
Baker, Erminia M 5,250.00 1,163.00 496.77 2,342.50 1,247.73
Morris, Dana R 250.00 94.00 0.00 141.00 15.00
Dial, Amy W 50.00 0.00 0.00 48.00 2.00
Cleghorn, Lou W 300.00 46.68 18.20 233.32 1.80
Kistler, Lucia E 250.00 51.35 0.00 163.65 35.00
Sinclair, Madie C 300.00 86.00 0.00 194.00 20.00
Simms, Mary T 250.00 86.00 0.00 144.00 20.00
Henry, Halina F 550.00 153.68 0.00 379.24 17.08
Wormley, Linda B 600.00 57.95 24.10 464.70 53.25
Jurgensen, Graciela G 350.00 126.00 1.00 194.00 29.00
Topete, Monika J 600.00 0.00 0.00 499.68 100.32
Weber, Velma K 250.00 8.13 10.00 151.87 80.00
Culp, Marhta J 100.00 4.31 40.00 45.69 10.00
King, Tanya A 300.00 96.00 0.00 194.00 10.00
Minor, Lena W 350.00 149.00 0.00 161.00 40.00
Fuentes, Nancy K 200.00 102.26 15.00 77.74 5.00
Stanley, Jovita D 300.00 86.00 0.00 194.00 20.00
JEFFERSON, JENNY H 820.00 107.87 10.00 663.40 38.73
Williamson, Yolanda D 350.00 93.00 0.00 240.00 17.00
Grout, Maria J 650.00 222.00 0.00 383.00 45.00
Jordan, Mildred B 2,500.00 311.32 0.00 2,110.85 77.83
Howard, Janet F 600.00 329.00 0.00 256.00 15.00
Staton, Luz J 600.00 145.00 0.00 415.00 40.00
Venable, Loretta L 200.00 74.70 0.00 95.30 30.00
Temple, Jennifer A 1,200.00 81.77 60.00 758.23 300.00
Strange, Jeanette L 350.00 51.00 30.00 264.00 5.00
Carroll, Brenda R 10.00 2.17 0.00 7.59 0.24
Miles, June F 550.00 0.00 30.90 376.28 142.82
Plath, Mildred J 600.00 329.00 0.00 256.00 15.00
Smart, Marjorie T 50.00 0.00 0.00 48.00 2.00
Echevarria, Patricia T 1,090.00 0.00 0.00 691.89 398.11
Stephens, Vera G 550.00 153.11 0.00 369.88 27.01
Jones, Lisa J 350.00 95.00 0.00 240.00 15.00
Kellerman, Viola R 350.00 49.27 0.00 288.41 12.32
Surface, Emma M 150.00 66.24 0.00 63.76 20.00
Cooper, Susan J 250.00 184.00 0.00 61.00 5.00
18
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Hardin, Kristin R 250.00 94.00 0.00 141.00 15.00
Moore, Heather D 4,500.00 788.88 0.00 3,583.65 127.47
Wallace, Guadalupe D 300.00 45.50 30.00 214.50 10.00
Gallo, Juliana T 300.00 47.86 25.00 212.14 15.00
BOLIVAR, BABY BOY 700.00 0.00 0.00 543.67 156.33
Fitzpatrick, Harriette W 100.00 54.00 0.00 41.00 5.00
PENNELLA, BABY BOY 700.00 125.06 0.00 543.67 31.27
GROZA, BABY BOY 450.00 0.00 0.00 374.75 75.25
Burdette, Phyllis J 1,675.00 0.00 110.30 1,345.77 218.93
Evans, Melanie R 250.00 44.00 0.00 164.00 42.00
Lewis, Nellie T 350.00 76.00 0.00 257.00 17.00
Blake, Becky F 550.00 0.00 0.00 379.24 170.76
Brown, Billie G 325.00 84.35 0.00 99.36 141.29
Osteen, Catherine M 100.00 15.00 35.00 45.00 5.00
Marquez, Kelsey M 300.00 93.00 0.00 192.00 15.00
Corker, Ella R 550.00 111.99 0.00 143.01 295.00
Hayes, Alexa A 800.00 208.45 12.61 539.44 39.50
Franqui, Anne K 2,200.00 644.73 0.00 1,321.10 234.17
Williams, Clarice J 25.00 0.00 0.00 23.00 2.00
Graham, Tammy G 5,700.00 1,190.33 0.00 2,705.76 1,803.91
Eggers, Alicia E 875.00 155.00 11.00 465.00 244.00
Bates, Brittaney L 2,500.00 149.23 248.96 1,920.46 181.35
Bard, Lori N 1,500.00 318.00 0.00 1,162.00 20.00
McCraney, Debra W 50.00 0.00 0.00 48.10 1.90
Coleman, Esperanza A 2,750.00 450.00 0.00 2,250.00 50.00
McLendon, Kelly R 250.00 8.13 0.00 151.87 90.00
Hale, Helen S 1,275.00 67.54 0.00 912.03 295.43
Aubin, Virginia E 300.00 9.84 40.00 200.16 50.00
Thomas, Nancy D 550.00 0.00 0.00 460.04 89.96
Rodriguez, Barbara C 600.00 0.00 0.00 420.48 179.52
OCONNOR, BABY BOY 700.00 72.02 0.00 491.51 136.47
LAURITO, BABY BOY 450.00 0.00 0.00 0.00 450.00
Leger, Anna E 250.00 8.13 50.00 151.87 40.00
Foster, Hazel C 1,150.00 0.00 0.00 763.75 386.25
Dorey, Alysia C 400.00 26.05 20.00 266.09 87.86
Flory, Laura G 1,260.00 17.60 0.00 807.42 434.98
Nelson, Ashley M 500.00 169.00 0.00 301.00 30.00
Shea, Paula A 250.00 28.13 5.00 151.87 65.00
Cronk, Leah W 100.00 16.05 0.00 53.95 30.00
Harr, Sue R 50.00 0.00 0.00 48.00 2.00
19
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
MOREA, BABY BOY 700.00 0.00 0.00 0.00 700.00
Marrone, Melissa V 50.00 0.00 0.00 48.00 2.00
Silverman, Lorraine K 250.00 60.00 0.00 150.00 40.00
Carney, Maureen C 250.00 94.00 0.00 141.00 15.00
Lisk, Betty W 300.00 70.29 12.73 212.14 4.84
Martini, Christina C 50.00 0.00 0.00 48.00 2.00
Barnard, Deanna R 300.00 93.00 0.00 192.00 15.00
Pearson, Desiree J 250.00 94.00 0.00 141.00 15.00
Espiritu, Charlene L 505.00 162.19 11.05 324.79 6.97
GUALTIERE, BABY BOY 700.00 0.00 0.00 0.00 700.00
Phelps, Susan D 350.00 87.00 0.00 243.00 20.00
COLANDREA, NICOLA 125.00 31.68 0.00 89.80 3.52
Davis, Valerie B 900.00 208.00 0.00 652.00 40.00
Lee, Connie S 250.00 51.35 0.00 163.65 35.00
Hume, Sharon R 725.00 213.04 0.00 488.28 23.68
MAHMOOD, BABY BOY 700.00 0.00 0.00 0.00 700.00
Jacobs, Mia L 50.00 0.00 0.05 47.05 2.90
Olson, Susan C 700.00 0.00 50.00 459.23 190.77
Franklin, Crystal T 550.00 0.00 0.00 375.79 174.21
Ayala, Arlene T 50.00 10.00 0.00 20.00 20.00
RAFFINELLO, BABY BOY 700.00 140.69 0.00 543.67 15.64
Ragan, Shante J 2,450.00 0.00 0.00 0.00 2,450.00
BORZELL, PAUL 50.00 1.62 0.00 48.20 0.18
MABELO, BABY BOY 700.00 0.00 100.00 516.53 83.47
TSE, BABY BOY 700.00 0.00 0.00 491.51 208.49
Hatfield, Nicole T 250.00 127.00 0.00 103.00 20.00
SMITH-MICKEL, BABY BOY 450.00 72.02 0.00 369.98 8.00
Allen, Kelly A 250.00 0.00 0.00 187.88 62.12
Streets, Rebecca J 550.00 0.00 20.00 378.66 151.34
DELANEY, BABYBOY 450.00 0.00 0.00 379.58 70.42
Lewis, Rosemary M 1,100.00 413.34 0.00 597.03 89.63
Kaye, Ana M 300.00 65.59 20.00 194.41 20.00
IACOVONE , BABY BOY 700.00 0.00 0.00 491.51 208.49
Gutierrez, Linda W 550.00 84.21 0.00 375.79 90.00
Delacruz, Lucy B 600.00 277.00 0.00 303.00 20.00
Collier, Phyllis A 150.00 71.24 0.00 63.76 15.00
Stewart, Jeanette M 250.00 71.26 0.00 143.74 35.00
Core, Jean C 250.00 75.26 0.00 143.74 31.00
RUIZ, BABY BOY 250.00 0.00 0.00 121.53 128.47
GUERRIER, BABY BOY 700.00 0.00 0.00 543.67 156.33
20
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Drummond, Sonja J 425.00 216.95 0.00 152.70 55.35
Vigil, Sandra J 350.00 109.41 0.00 213.24 27.35
KELLY, BABY BOY 450.00 70.95 0.00 366.54 12.51
Smith, Jennie R 125.00 103.00 0.00 2.00 20.00
Cheng, Katie D 600.00 111.00 0.00 429.00 60.00
Easterling, Suzette H 250.00 0.00 8.32 138.96 102.72
RAMKHELAWAN, BABY BOY 450.00 0.00 0.00 366.54 83.46
RAMIREZ, ADRIAN 700.00 0.00 0.00 554.89 145.11
Weishaar, Edna J 60.00 0.00 0.00 55.69 4.31
ANDERSON, ROBERT G 75.00 17.78 0.00 42.22 15.00
Despres, Jesus E 350.00 58.58 0.00 276.79 14.63
Koenig, Maude R 1,050.00 251.73 0.00 631.34 166.93
Rogers, Mary J 500.00 169.00 0.00 301.00 30.00
CORTES, BABY BOY 450.00 0.00 0.00 325.00 125.00
Gainey, Annie S 1,200.00 238.93 0.00 901.33 59.74
Christner, Esther W 700.00 98.69 25.00 455.31 121.00
OBERG, BABY BOY 700.00 0.00 0.00 0.00 700.00
Brown, Enid P 50.00 0.00 0.00 48.00 2.00
LABASI, NICOLAS 450.00 70.95 0.00 366.54 12.51
SCHAEFER, JEFFREY DAVID 125.00 41.00 0.00 54.00 30.00
Talbot, Ursula S 300.00 17.75 30.00 242.25 10.00
Velasquez, Abby F 600.00 329.00 0.00 256.00 15.00
Conn, Shannon I 300.00 0.00 0.00 200.00 100.00
RODRIGUEZ, CARLOS 125.00 38.32 0.00 46.68 40.00
TAPIC , BABY BOY 250.00 0.00 0.00 137.95 112.05
Campbell, Lupe A 550.00 87.10 0.00 375.79 87.11
Rubio, Lucia R 125.00 116.75 0.00 2.00 6.25
McAllister, Lorie L 175.00 58.24 0.00 102.20 14.56
Vazquez, Tamela C 50.00 0.00 0.00 48.00 2.00
Sakamoto, Anne C 875.00 104.37 20.00 555.57 195.06
Gutierrez, Diana D 150.00 52.13 20.00 67.87 10.00
Boucher, Kim N 125.00 103.00 0.00 2.00 20.00
WALCOTT, BABY BOY 700.00 0.00 0.00 0.00 700.00
QUINTANA, DAVID 125.00 38.32 20.00 46.68 20.00
Cowan, Barbara M 250.00 127.00 0.00 103.00 20.00
HOLBREICH, BABY BOY 700.00 101.57 0.00 554.89 43.54
JOHNSON , BABY BOY 450.00 0.00 0.00 369.98 80.02
Patient Sub Total 491,177.00 107,608.12 12,670.59 296,309.44 74,588.85
Case Type Sub Total 491,177.00 107,608.12 12,670.59 296,309.44 74,588.85
Total 491,177.00 107,608.12 12,670.59 296,309.44 74,588.85
21
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Aging DetailsPatient Current 31-60 61-90 91-120 121-150 151-181 >181 Total
Case Type: PRIVATE/GROUP HEALTH INSURANCE PLAN
Patient
Lopez, Mabel B 0.00 0.00 0.00 0.00 0.00 0.00 30.41 30.41
Hampton, Peggy E 0.00 0.00 0.00 0.00 0.00 0.00 77.05 77.05
Nash, Minnie J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Cruz, Lilian J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Brown, Nicole E 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Ong, Anita R 0.00 0.00 0.00 0.00 0.00 0.00 63.28 63.28
Horne, Danielle M 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Friesen, Sonia R 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Kissee, Marlene A 0.00 0.00 0.00 0.00 0.00 0.00 65.00 65.00
Wong, Patricia J 0.00 0.00 0.00 0.00 0.00 0.00 27.70 27.70
Collado, Jo P 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Bryan, Sarah D 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Brush, Wendy J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Robertson, Peggy J 0.00 0.00 0.00 0.00 0.00 0.00 19.25 19.25
Goins, Mary B 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
Darling, Nancy A 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Howell, Kimberly R 0.00 0.00 0.00 0.00 0.00 0.00 3.13 3.13
Chau, Karen D 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Harper, Brandi D 0.00 0.00 0.00 0.00 0.00 0.00 185.31 185.31
Lowery, Carl R 0.00 0.00 0.00 0.00 0.00 0.00 8.58 8.58
Wolf, Bernice R 0.00 0.00 0.00 0.00 0.00 0.00 356.02 356.02
McVay, Tessa M 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Parker, Stephanie J 0.00 0.00 0.00 0.00 0.00 0.00 49.67 49.67
Halcomb, Betty R 0.00 0.00 0.00 0.00 0.00 0.00 2.41 2.41
Carty, Michiko R 0.00 0.00 0.00 0.00 0.00 0.00 182.36 182.36
Johnson, Raquel P 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Chiang, Joy N 0.00 0.00 0.00 0.00 0.00 0.00 56.41 56.41
Parker, Ming Z 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Kelley, Charleen J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Armstead, Abby W 0.00 0.00 0.00 0.00 0.00 0.00 159.60 159.60
Abston, Megan D 0.00 0.00 0.00 0.00 0.00 0.00 87.11 87.11
Richards, Lisa B 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Plum, Marina J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
22
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Burt, Jacqueline R 0.00 0.00 0.00 0.00 0.00 0.00 202.28 202.28
Hall, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Byard, Kathleen B 0.00 0.00 0.00 0.00 0.00 0.00 142.99 142.99
Anderson, Rachel J 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Armwood, Ernestine B 0.00 0.00 0.00 0.00 0.00 0.00 3.70 3.70
Gonzalez, Eleanor W 0.00 0.00 0.00 0.00 0.00 0.00 78.69 78.69
Sterling, Livia T 0.00 0.00 0.00 0.00 0.00 0.00 2.13 2.13
Alger, Michele R 0.00 0.00 0.00 0.00 0.00 0.00 297.04 297.04
Estes, Tiffany B 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Carlos, Ofelia T 0.00 0.00 0.00 0.00 0.00 0.00 279.05 279.05
Joyner, Jaclyn C 0.00 0.00 0.00 0.00 0.00 0.00 14.24 14.24
Cowen, Constance E 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Lambert, Sandra D 0.00 0.00 0.00 0.00 0.00 0.00 19.92 19.92
Johnson, Mildred R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Ware, Susana J 0.00 0.00 0.00 0.00 0.00 0.00 155.76 155.76
Place, Jocelyn R 0.00 0.00 0.00 0.00 0.00 0.00 197.97 197.97
Lee, Terri J 0.00 0.00 0.00 0.00 0.00 0.00 0.90 0.90
Barton, Holly A 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Welch, Roxanne W 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Denn, Doris H 0.00 0.00 0.00 0.00 0.00 0.00 866.38 866.38
Wilkie, Merilyn R 0.00 0.00 0.00 0.00 0.00 0.00 2.70 2.70
Everett, Jennifer D 0.00 0.00 0.00 0.00 0.00 0.00 35.14 35.14
Barbara, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 57.20 57.20
Pike, Janice R 0.00 0.00 0.00 0.00 0.00 0.00 367.51 367.51
Thompson, Victoria G 0.00 0.00 0.00 0.00 0.00 0.00 90.85 90.85
Elam, Brenda F 0.00 0.00 0.00 0.00 0.00 0.00 1.00 1.00
May, Sara J 0.00 0.00 0.00 0.00 0.00 0.00 124.93 124.93
Bogle, Jamie E 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Shaw, Jill G 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Bruce, Sandra E 0.00 0.00 0.00 0.00 0.00 0.00 172.97 172.97
McMahan, Socorro R 0.00 0.00 0.00 0.00 0.00 0.00 56.26 56.26
Hansen, Delores W 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Sheffield, Erin D 0.00 0.00 0.00 0.00 0.00 0.00 1.54 1.54
Belisle, Jane J 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Hume, Katrina P 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Dow, Patty A 0.00 0.00 0.00 0.00 0.00 0.00 70.00 70.00
Redington, Kathy H 0.00 0.00 0.00 0.00 0.00 0.00 471.51 471.51
Smith, Sherri J 0.00 0.00 0.00 0.00 0.00 0.00 12.00 12.00
Greer, Patricia D 0.00 0.00 0.00 0.00 0.00 0.00 55.28 55.28
Winder, Michaela R 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
23
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Gandy, Jean M 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Forney, Mary A 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Carlson, Stephanie J 0.00 0.00 0.00 0.00 0.00 0.00 77.05 77.05
Antonucci, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 251.19 251.19
Sinclair, Hien A 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Campbell, Sandee A 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Guthrie, Eleanor M 0.00 0.00 0.00 0.00 0.00 0.00 44.04 44.04
Gomez, Maria B 0.00 0.00 0.00 0.00 0.00 0.00 83.93 83.93
Mock, Rochelle J 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Blanchard, Monica C 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Schroeder, Esther M 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
Crayton, Sarah M 0.00 0.00 0.00 0.00 0.00 0.00 10.22 10.22
Smith, Teresa K 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Arndt, Tracey W 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Kogut, Brandi R 0.00 0.00 0.00 0.00 0.00 0.00 383.92 383.92
Foote, Virginia C 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Dixon, Helen R 0.00 0.00 0.00 0.00 0.00 0.00 3.58 3.58
McAlister, Jacqueline P 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Darby, Amy M 0.00 0.00 0.00 0.00 0.00 0.00 28.69 28.69
Carter, Frances D 0.00 0.00 0.00 0.00 0.00 0.00 3,478.70 3,478.70
Sweeten, Anna P 0.00 0.00 0.00 0.00 0.00 0.00 44.02 44.02
Craft, Sharon S 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Neal, Helen J 0.00 0.00 0.00 0.00 0.00 0.00 162.36 162.36
Sievers, Velma R 0.00 0.00 0.00 0.00 0.00 0.00 2.24 2.24
Brundidge, Arlette M 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Marshall, Nellie C 0.00 0.00 0.00 0.00 0.00 0.00 36.68 36.68
Tores, Anne E 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Brown, Joyce J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Heaps, Joann S 0.00 0.00 0.00 0.00 0.00 0.00 13.74 13.74
West, Wei H 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00
Hendrix, Kathryn T 0.00 0.00 0.00 0.00 0.00 0.00 200.00 200.00
Hayne, Barbara O 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
McManus, Ada W 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Gibbons, Latoria Z 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Lawrence, Lucille R 0.00 0.00 0.00 0.00 0.00 0.00 182.28 182.28
Burchfield, Geneva D 0.00 0.00 0.00 0.00 0.00 0.00 137.72 137.72
Schneider, Jillian R 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Hixon, Marguerite D 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Culler, Nicole J 0.00 0.00 0.00 0.00 0.00 0.00 100.00 100.00
Martinez, Teresa J 0.00 0.00 0.00 0.00 0.00 0.00 87.11 87.11
24
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Freeman, Cheryl A 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Woods, Graciela E 0.00 0.00 0.00 0.00 0.00 0.00 197.97 197.97
Butler, Joyce R 0.00 0.00 0.00 0.00 0.00 0.00 11.47 11.47
Bentley, Virginia A 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Tucker, Shirley J 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Martinez, Jenny J 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Rollins, Gladys D 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Taylor, Ruth J 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Price, Elizabeth G 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Leal, Virginia K 0.00 0.00 0.00 0.00 0.00 0.00 53.57 53.57
Sorensen, Maria R 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Brackin, Cynthia G 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Slate, Sabrina R 0.00 0.00 0.00 0.00 0.00 0.00 2.10 2.10
Anderson, Pamela M 0.00 0.00 0.00 0.00 0.00 0.00 37.00 37.00
Mark, Mary L 0.00 0.00 0.00 0.00 0.00 0.00 2.87 2.87
Clarke, Teresa A 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Prentiss, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 9.50 9.50
Davis, Brittany E 0.00 0.00 0.00 0.00 0.00 0.00 19.50 19.50
Isenberg, Blanca B 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Silva, Elizabeth P 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Williams, Sylvia L 0.00 0.00 0.00 0.00 0.00 0.00 24.16 24.16
Fortune, Darla W 0.00 0.00 0.00 0.00 0.00 0.00 2.10 2.10
Murphy, Krystyna M 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Hay, Julie K 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
McCarty, Amber D 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Thrasher, Sandra D 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Bemis, Sharon J 0.00 0.00 0.00 0.00 0.00 0.00 651.80 651.80
Gregory, Marion J 0.00 0.00 0.00 0.00 0.00 0.00 162.72 162.72
Butler, India R 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Davis, Maya J 0.00 0.00 0.00 0.00 0.00 0.00 194.65 194.65
Thomas, Karen J 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Martinez, Grace S 0.00 0.00 0.00 0.00 0.00 0.00 156.66 156.66
Moore, Angie A 0.00 0.00 0.00 0.00 0.00 0.00 130.00 130.00
Jones, Frances B 0.00 0.00 0.00 0.00 0.00 0.00 3.34 3.34
Weatherholt, Erline R 0.00 0.00 0.00 0.00 0.00 0.00 1.91 1.91
Lord, Loretta J 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Semon, Patrica M 0.00 0.00 0.00 0.00 0.00 0.00 39.60 39.60
Mandell, Carmen P 0.00 0.00 0.00 0.00 0.00 0.00 19.79 19.79
Wilson, Eleanor J 0.00 0.00 0.00 0.00 0.00 0.00 19.98 19.98
Johnson, Brynn R 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
25
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Myricks, Margarita J 0.00 0.00 0.00 0.00 0.00 0.00 142.97 142.97
Phillips, Aurora V 0.00 0.00 0.00 0.00 0.00 0.00 24.93 24.93
Vigil, Mary J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Schwab, Audrey D 0.00 0.00 0.00 0.00 0.00 0.00 98.65 98.65
Buchanan, Jean E 0.00 0.00 0.00 0.00 0.00 0.00 10.29 10.29
Loomis, Gracie K 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Grace, Jennifer S 0.00 0.00 0.00 0.00 0.00 0.00 79.15 79.15
Whipple, Carrie O 0.00 0.00 0.00 0.00 0.00 0.00 132.50 132.50
King, Tammie J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Bond, Karla L 0.00 0.00 0.00 0.00 0.00 0.00 36.01 36.01
Crum, Christie G 0.00 0.00 0.00 0.00 0.00 0.00 122.77 122.77
Jackson, Evelyn J 0.00 0.00 0.00 0.00 0.00 0.00 117.07 117.07
Paquette, Stephanie W 0.00 0.00 0.00 0.00 0.00 0.00 364.09 364.09
Foster, Rosalind R 0.00 0.00 0.00 0.00 0.00 0.00 4.92 4.92
Johnson, Odell N 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Marcum, Rena R 0.00 0.00 0.00 0.00 0.00 0.00 84.38 84.38
Faulk, Maria C 0.00 0.00 0.00 0.00 0.00 0.00 35.33 35.33
Green, Susan R 0.00 0.00 0.00 0.00 0.00 0.00 75.00 75.00
Lamp, Linda S 0.00 0.00 0.00 0.00 0.00 0.00 4.35 4.35
Uren, Lola J 0.00 0.00 0.00 0.00 0.00 0.00 307.30 307.30
Gibbs, Beatrice P 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Greenfield, Melissa R 0.00 0.00 0.00 0.00 0.00 0.00 122.44 122.44
Huntley, Beverly J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Garcia, Carla S 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Bateman, Susan J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Craig, Karen T 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Carnes, Avis E 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Brown, April H 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Campbell, Virginia L 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Grove, Naomi R 0.00 0.00 0.00 0.00 0.00 0.00 72.60 72.60
Hardy, Jacqueline J 0.00 0.00 0.00 0.00 0.00 0.00 45.00 45.00
Chou, Zonia C 0.00 0.00 0.00 0.00 0.00 0.00 33.83 33.83
Detrick, Frances G 0.00 0.00 0.00 0.00 0.00 0.00 75.00 75.00
Palmer, Joan M 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Dixon, Yvonne J 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
McCreery, Margaret G 0.00 0.00 0.00 0.00 0.00 0.00 67.07 67.07
Collins, Alice R 0.00 0.00 0.00 0.00 0.00 0.00 206.57 206.57
Bullard, Sandra J 0.00 0.00 0.00 0.00 0.00 0.00 4.84 4.84
Booth, Ethel C 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Ruybal, Paula R 0.00 0.00 0.00 0.00 0.00 0.00 189.63 189.63
26
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Rundell, Helen T 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Baldree, Rose H 0.00 0.00 0.00 0.00 0.00 0.00 197.97 197.97
Childs, Helen J 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Martinez, Gloria H 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Collins, Peggy G 0.00 0.00 0.00 0.00 0.00 0.00 170.00 170.00
Morris, Anita T 0.00 0.00 0.00 0.00 0.00 0.00 2.85 2.85
Cook, Kelli R 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Lucas, Mary E 0.00 0.00 0.00 0.00 0.00 0.00 14.43 14.43
Steere, Amy D 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Schneider, Nellie B 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Davis, Colleen S 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Helton, Evelyn J 0.00 0.00 0.00 0.00 0.00 0.00 12.82 12.82
Gilbert, Deborah D 0.00 0.00 0.00 0.00 0.00 0.00 8.33 8.33
Williams, Vickie T 0.00 0.00 0.00 0.00 0.00 0.00 170.76 170.76
Hackett, Jaime A 0.00 0.00 0.00 0.00 0.00 0.00 25.82 25.82
McLean, Amanda E 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
McCarty, Holli B 0.00 0.00 0.00 0.00 0.00 0.00 4.84 4.84
Sipe, Ann G 0.00 0.00 0.00 0.00 0.00 0.00 76.91 76.91
Johnson, Cheryl M 0.00 0.00 0.00 0.00 0.00 0.00 4.35 4.35
Flower, Maxine P 0.00 0.00 0.00 0.00 0.00 0.00 5.25 5.25
McElroy, Marisa W 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Mapp, Colleen C 0.00 0.00 0.00 0.00 0.00 0.00 10.05 10.05
Limon, Janice R 0.00 0.00 0.00 0.00 0.00 0.00 115.54 115.54
Robinson, Vivian S 0.00 0.00 0.00 0.00 0.00 0.00 115.32 115.32
Taylor, Marg J 0.00 0.00 0.00 0.00 0.00 0.00 60.52 60.52
Larocco, Elsie R 0.00 0.00 0.00 0.00 0.00 0.00 22.95 22.95
Hawn, Patricia M 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Goldberg, Alice S 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Sneller, Debra H 0.00 0.00 0.00 0.00 0.00 0.00 215.72 215.72
Bennett, Elizabeth V 0.00 0.00 0.00 0.00 0.00 0.00 84.38 84.38
Munsey, Evelyn W 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Addison, Barbara M 0.00 0.00 0.00 0.00 0.00 0.00 45.57 45.57
Jefferson, Tina B 0.00 0.00 0.00 0.00 0.00 0.00 49.24 49.24
Ramos, Cleo S 0.00 0.00 0.00 0.00 0.00 0.00 259.48 259.48
Moore, Regan D 0.00 0.00 0.00 0.00 0.00 0.00 98.99 98.99
Rothenberg, Sally W 0.00 0.00 0.00 0.00 0.00 0.00 45.95 45.95
Bland, Cecilia K 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Bourgault, Ernestine E 0.00 0.00 0.00 0.00 0.00 0.00 0.54 0.54
Brooks, Rachelle J 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
Rucker, Barbara K 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
27
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Garten, Angela D 0.00 0.00 0.00 0.00 0.00 0.00 514.46 514.46
Gagnon, Annie T 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Donato, Margaret C 0.00 0.00 0.00 0.00 0.00 0.00 402.01 402.01
Sanchez, Margaret S 0.00 0.00 0.00 0.00 0.00 0.00 60.80 60.80
Battaglia, Elsa M 0.00 0.00 0.00 0.00 0.00 0.00 13.12 13.12
Donahue, Erica R 0.00 0.00 0.00 0.00 0.00 0.00 118.08 118.08
McCarthy, Christine L 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Inniss, Janis F 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Wieland, Dora T 0.00 0.00 0.00 0.00 0.00 0.00 35.50 35.50
Miller, Eileen A 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Parker, Angela W 0.00 0.00 0.00 0.00 0.00 0.00 4.35 4.35
Trent, Linda G 0.00 0.00 0.00 0.00 0.00 0.00 316.91 316.91
Ryder, Gloria T 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Widener, Sandra R 0.00 0.00 0.00 0.00 0.00 0.00 202.28 202.28
Burkett, Maryann K 0.00 0.00 0.00 0.00 0.00 0.00 0.24 0.24
Stovall, Martha A 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Epperson, Dana D 0.00 0.00 0.00 0.00 0.00 0.00 285.51 285.51
Cowley, Davida W 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Otter, Julia J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Gribble, Joyce C 0.00 0.00 0.00 0.00 0.00 0.00 100.00 100.00
Muniz, Lisa J 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Shoop, Deborah E 0.00 0.00 0.00 0.00 0.00 0.00 28.22 28.22
Vazquez, Margaret J 0.00 0.00 0.00 0.00 0.00 0.00 137.78 137.78
Thompson, Marcia R 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Warren, Trinidad A 0.00 0.00 0.00 0.00 0.00 0.00 248.01 248.01
Blackman, Beula F 0.00 0.00 0.00 0.00 0.00 0.00 220.17 220.17
Kirschner, Callie D 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Glidewell, Geraldine G 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
McLelland, Megan D 0.00 0.00 0.00 0.00 0.00 0.00 0.03 0.03
Moreno, April D 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Webb, Christina J 0.00 0.00 0.00 0.00 0.00 0.00 4.35 4.35
Dean, Mindy B 0.00 0.00 0.00 0.00 0.00 0.00 34.84 34.84
Jacobi, Rafaela C 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Nichols, Elizabeth P 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Martinez, Stephanie C 0.00 0.00 0.00 0.00 0.00 0.00 17.76 17.76
Everhart, Shannon R 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Fontenot, Tami H 0.00 0.00 0.00 0.00 0.00 0.00 145.76 145.76
Moore, Chung N 0.00 0.00 0.00 0.00 0.00 0.00 52.25 52.25
Torkelson, Veronica D 0.00 0.00 0.00 0.00 0.00 0.00 180.78 180.78
Ellison, Angela D 0.00 0.00 0.00 0.00 0.00 0.00 2.10 2.10
28
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Rust, Shirley M 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Wolford, Stella R 0.00 0.00 0.00 0.00 0.00 0.00 117.97 117.97
Ranieri, Katie K 0.00 0.00 0.00 0.00 0.00 0.00 17.77 17.77
Buckner, Ingrid K 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Voegele, Jessica M 0.00 0.00 0.00 0.00 0.00 0.00 160.42 160.42
Hoskins, Nieves J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Thole, Ebony J 0.00 0.00 0.00 0.00 0.00 0.00 40.36 40.36
Goodman, Nancy J 0.00 0.00 0.00 0.00 0.00 0.00 2.54 2.54
Sherman, Tommie J 0.00 0.00 0.00 0.00 0.00 0.00 142.28 142.28
Herron, Kelly M 0.00 0.00 0.00 0.00 0.00 0.00 3.38 3.38
Barlowe, Barbara N 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Cunningham, Shelia F 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
McDaniel, Tracy L 0.00 0.00 0.00 0.00 0.00 0.00 2,575.00 2,575.00
Phelps, Pamela R 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Odea, Alta J 0.00 0.00 0.00 0.00 0.00 0.00 66.68 66.68
Walker, Latashia R 0.00 0.00 0.00 0.00 0.00 0.00 15.24 15.24
Clark, Claire R 0.00 0.00 0.00 0.00 0.00 0.00 88.69 88.69
Elias, Kara J 0.00 0.00 0.00 0.00 0.00 0.00 21.59 21.59
Anaya, Anna D 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Flores, Heather J 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Donovan, Lela M 0.00 0.00 0.00 0.00 0.00 0.00 301.00 301.00
Morris, Debra J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Johns, Andrea T 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Box, Sarah L 0.00 0.00 0.00 0.00 0.00 0.00 32.00 32.00
Lazenby, Judy J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Moore, Marie F 0.00 0.00 0.00 0.00 0.00 0.00 237.09 237.09
Ward, Jesse F 0.00 0.00 0.00 0.00 0.00 0.00 69.25 69.25
Gomez, Helen M 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
France, Aubrey S 0.00 0.00 0.00 0.00 0.00 0.00 2.86 2.86
Lugo, Lori P 0.00 0.00 0.00 0.00 0.00 0.00 170.76 170.76
Jordan, Kristina C 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Silver, Sonya P 0.00 0.00 0.00 0.00 0.00 0.00 1.18 1.18
Sager, Betty C 0.00 0.00 0.00 0.00 0.00 0.00 98.23 98.23
Swan, Virginia M 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Davis, Theresa D 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Ryans, Clara G 0.00 0.00 0.00 0.00 0.00 0.00 58.00 58.00
Phelps, Gwendolyn J 0.00 0.00 0.00 0.00 0.00 0.00 118.32 118.32
Emerson, Jane L 0.00 0.00 0.00 0.00 0.00 0.00 0.86 0.86
Crabtree, Martha T 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Floyd, Jennie R 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00
29
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Stephens, Helene E 0.00 0.00 0.00 0.00 0.00 0.00 2.10 2.10
Jewell, Karen B 0.00 0.00 0.00 0.00 0.00 0.00 26.69 26.69
Davidson, Marjorie W 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Dixon, Ella L 0.00 0.00 0.00 0.00 0.00 0.00 0.81 0.81
Kellerman, Christina S 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Pappas, Amy H 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
McCabe, Martha J 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
McNeil, Linda L 0.00 0.00 0.00 0.00 0.00 0.00 135.57 135.57
Suggs, Lorna R 0.00 0.00 0.00 0.00 0.00 0.00 95.08 95.08
Terry, Elizabeth A 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Winslow, Wanda G 0.00 0.00 0.00 0.00 0.00 0.00 172.97 172.97
Bell, Joy J 0.00 0.00 0.00 0.00 0.00 0.00 313.43 313.43
McMaster, Norma J 0.00 0.00 0.00 0.00 0.00 0.00 68.52 68.52
Bethel, Susan J 0.00 0.00 0.00 0.00 0.00 0.00 158.09 158.09
Hamilton, Virginia L 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Bearce, Jina B 0.00 0.00 0.00 0.00 0.00 0.00 273.71 273.71
Man, Mary B 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Smalls, Ruby M 0.00 0.00 0.00 0.00 0.00 0.00 132.38 132.38
Kennedy, Rosella J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Smith, Frances C 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Grier, Sarah D 0.00 0.00 0.00 0.00 0.00 0.00 70.00 70.00
Meza, Kristin D 0.00 0.00 0.00 0.00 0.00 0.00 105.59 105.59
Simmons, Marjorie A 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Cook, Agnes J 0.00 0.00 0.00 0.00 0.00 0.00 57.11 57.11
Cervantes, Geneva D 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Nichols, Becky T 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Clover, Lucy W 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Wilson, Patricia W 0.00 0.00 0.00 0.00 0.00 0.00 4.31 4.31
Robertson, Lorene R 0.00 0.00 0.00 0.00 0.00 0.00 78.99 78.99
Mays, Heather S 0.00 0.00 0.00 0.00 0.00 0.00 45.00 45.00
Whyte, Cynthia C 0.00 0.00 0.00 0.00 0.00 0.00 146.50 146.50
Martin, Annie M 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Rosenbalm, Martha D 0.00 0.00 0.00 0.00 0.00 0.00 11.88 11.88
Cleary, Marjorie R 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Koch, Margaret J 0.00 0.00 0.00 0.00 0.00 0.00 424.86 424.86
Wiser, Lillian T 0.00 0.00 0.00 0.00 0.00 0.00 34.84 34.84
Hodge, Annie J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Smith, Marsha A 0.00 0.00 0.00 0.00 0.00 0.00 1,602.50 1,602.50
Walker, Marian W 0.00 0.00 0.00 0.00 0.00 0.00 7.35 7.35
Waldo, Susan M 0.00 0.00 0.00 0.00 0.00 0.00 161.48 161.48
30
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Shelton, Marjorie R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Brass, Lola L 0.00 0.00 0.00 0.00 0.00 0.00 91.84 91.84
Alvarez, Janet N 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Barnhill, Wanda F 0.00 0.00 0.00 0.00 0.00 0.00 134.77 134.77
Jarrett, Sarah K 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.50
Moore, Soledad A 0.00 0.00 0.00 0.00 0.00 0.00 207.72 207.72
Smith, Helen T 0.00 0.00 0.00 0.00 0.00 0.00 38.15 38.15
Cummins, Dorothy A 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Sipes, Camille T 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Brooks, Tracie S 0.00 0.00 0.00 0.00 0.00 0.00 16.61 16.61
Brown, Bonnie L 0.00 0.00 0.00 0.00 0.00 0.00 133.86 133.86
Jacobi, Charlotte D 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Allison, Leona J 0.00 0.00 0.00 0.00 0.00 0.00 4.31 4.31
Morris, Mary T 0.00 0.00 0.00 0.00 0.00 0.00 4.06 4.06
Kleinman, Minnie R 0.00 0.00 0.00 0.00 0.00 0.00 20.61 20.61
Cruz, Gloria J 0.00 0.00 0.00 0.00 0.00 0.00 23.31 23.31
Archuleta, Jo B 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Martin, Florence R 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
McKee, Karen C 0.00 0.00 0.00 0.00 0.00 0.00 343.89 343.89
Hill, Lakisha M 0.00 0.00 0.00 0.00 0.00 0.00 17.57 17.57
Nicholas, Samantha P 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Snively, Carmen J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Capps, Manuela D 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Ferguson, Rikki S 0.00 0.00 0.00 0.00 0.00 0.00 5.23 5.23
McCall, Agnes C 0.00 0.00 0.00 0.00 0.00 0.00 5.23 5.23
Doucette, Cheryl E 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Slover, Crystal S 0.00 0.00 0.00 0.00 0.00 0.00 211.85 211.85
Evans, Theresa M 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Jones, Julie M 0.00 0.00 0.00 0.00 0.00 0.00 522.18 522.18
Schwarz, Doris E 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Smith, Kandice J 0.00 0.00 0.00 0.00 0.00 0.00 114.21 114.21
Pope, Jennifer J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Howard, Kathryn S 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Edwards, Amber K 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Garcia, Jennifer K 0.00 0.00 0.00 0.00 0.00 0.00 403.84 403.84
Battle, Jean C 0.00 0.00 0.00 0.00 0.00 0.00 384.00 384.00
Bone, Virginia J 0.00 0.00 0.00 0.00 0.00 0.00 5.09 5.09
Gallegos, Anna R 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
McCulley, Maxine R 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Beasley, Margaret S 0.00 0.00 0.00 0.00 0.00 0.00 70.00 70.00
31
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Seales, Julie M 0.00 0.00 0.00 0.00 0.00 0.00 13.44 13.44
Holbrook, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Ferguson, Dolores L 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Francis, Samantha G 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Smith, Heather N 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Harris, Barbara W 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Gorham, Shirley J 0.00 0.00 0.00 0.00 0.00 0.00 19.97 19.97
Newell, Martha M 0.00 0.00 0.00 0.00 0.00 0.00 113.53 113.53
Okeefe, Gail T 0.00 0.00 0.00 0.00 0.00 0.00 202.28 202.28
McCullum, Dorothy M 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Cintron, Ernestine L 0.00 0.00 0.00 0.00 0.00 0.00 40.46 40.46
Reed, Rose G 0.00 0.00 0.00 0.00 0.00 0.00 158.84 158.84
Myers, Debra W 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Bennett, Anna W 0.00 0.00 0.00 0.00 0.00 0.00 48.93 48.93
Heffington, Deborah L 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Rodriguez, Jerri C 0.00 0.00 0.00 0.00 0.00 0.00 19.84 19.84
Eldridge, Terry S 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Carter, Jodi R 0.00 0.00 0.00 0.00 0.00 0.00 100.38 100.38
Saldana, Beryl J 0.00 0.00 0.00 0.00 0.00 0.00 8.50 8.50
Camacho, Kathy C 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Obrien, Shira R 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Kaster, Mary A 0.00 0.00 0.00 0.00 0.00 0.00 160.00 160.00
Wilborn, Aline K 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Humphrey, Griselda A 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Iles, Audrey B 0.00 0.00 0.00 0.00 0.00 0.00 103.00 103.00
McBride, Stephanie J 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Boyd, Nancy J 0.00 0.00 0.00 0.00 0.00 0.00 130.37 130.37
Wilson, Martina G 0.00 0.00 0.00 0.00 0.00 0.00 51.45 51.45
Rogers, Chris J 0.00 0.00 0.00 0.00 0.00 0.00 27.76 27.76
Hogan, Paula D 0.00 0.00 0.00 0.00 0.00 0.00 4.84 4.84
Gonzalez, Dorothy A 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Plummer, Patricia A 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Chon, Mildred M 0.00 0.00 0.00 0.00 0.00 0.00 77.05 77.05
Bartley, Ruth J 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Walker, Christine K 0.00 0.00 0.00 0.00 0.00 0.00 4.31 4.31
Kirkpatrick, Alison Z 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Fortin, Lila J 0.00 0.00 0.00 0.00 0.00 0.00 17.77 17.77
Roach, Robin W 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Woodland, Julie C 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Ulloa, Maye B 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
32
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Muller, Maria D 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Porter, Nancy B 0.00 0.00 0.00 0.00 0.00 0.00 66.68 66.68
Oberg, Janice R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Brooks, Alison W 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Stevens, Leslie I 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Litten, Margaret K 0.00 0.00 0.00 0.00 0.00 0.00 19.00 19.00
Frye, Deeann M 0.00 0.00 0.00 0.00 0.00 0.00 110.31 110.31
Saunders, Joyce H 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Walker, Denise R 0.00 0.00 0.00 0.00 0.00 0.00 157.97 157.97
Cruz, Isabel C 0.00 0.00 0.00 0.00 0.00 0.00 1.00 1.00
Magdaleno, Maria A 0.00 0.00 0.00 0.00 0.00 0.00 170.76 170.76
Garcia, Alicia J 0.00 0.00 0.00 0.00 0.00 0.00 4.22 4.22
Goff, Bernadette R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Hess, Bertha T 0.00 0.00 0.00 0.00 0.00 0.00 201.62 201.62
Kurtz, Paula C 0.00 0.00 0.00 0.00 0.00 0.00 202.66 202.66
Gates, Sue B 0.00 0.00 0.00 0.00 0.00 0.00 2.10 2.10
Stanford, Karen S 0.00 0.00 0.00 0.00 0.00 0.00 4.48 4.48
Mathews, Elinor D 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Genest, Miriam W 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Bigelow, Robin J 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
McFadden, Jewell M 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Callaghan, Helen J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Lambdin, Michelle G 0.00 0.00 0.00 0.00 0.00 0.00 40.08 40.08
Wilkerson, Lisa J 0.00 0.00 0.00 0.00 0.00 0.00 81.79 81.79
Northcutt, Brenda J 0.00 0.00 0.00 0.00 0.00 0.00 37.99 37.99
Mouzon, Ashlie R 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Humble, Patricia J 0.00 0.00 0.00 0.00 0.00 0.00 180.04 180.04
Stringer, Alexis R 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Newton, Faith M 0.00 0.00 0.00 0.00 0.00 0.00 87.11 87.11
Bennett, Herlinda W 0.00 0.00 0.00 0.00 0.00 0.00 13.70 13.70
Larsen, Viola L 0.00 0.00 0.00 0.00 0.00 0.00 21.00 21.00
Clifford, Carol S 0.00 0.00 0.00 0.00 0.00 0.00 21.34 21.34
Florence, Erlinda J 0.00 0.00 0.00 0.00 0.00 0.00 197.97 197.97
Galbraith, Holly T 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Jones, Phyllis D 0.00 0.00 0.00 0.00 0.00 0.00 20.03 20.03
Pugh, Ethel D 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Williams, Emily R 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Light, Amparo E 0.00 0.00 0.00 0.00 0.00 0.00 42.72 42.72
Thomas, Bethany L 0.00 0.00 0.00 0.00 0.00 0.00 482.75 482.75
Bryant, Mary R 0.00 0.00 0.00 0.00 0.00 0.00 27.00 27.00
33
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Haskins, Mary K 0.00 0.00 0.00 0.00 0.00 0.00 136.34 136.34
McCloud, Caridad S 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
McVeigh, Allison G 0.00 0.00 0.00 0.00 0.00 0.00 130.00 130.00
Studer, Audrey C 0.00 0.00 0.00 0.00 0.00 0.00 14.00 14.00
Stafford, Rachelle A 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Chambers, Terry T 0.00 0.00 0.00 0.00 0.00 0.00 75.00 75.00
Manke, Nancy N 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
James, Ruby M 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Gibson, Kay H 0.00 0.00 0.00 0.00 0.00 0.00 49.92 49.92
Bruhn, Margaret H 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Cozad, Megan R 0.00 0.00 0.00 0.00 0.00 0.00 16.88 16.88
Rice, Danielle A 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Kelly, Christina M 0.00 0.00 0.00 0.00 0.00 0.00 210.00 210.00
Ray, Sherrill J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Baker, Carmon T 0.00 0.00 0.00 0.00 0.00 0.00 22.38 22.38
Thacker, Anne D 0.00 0.00 0.00 0.00 0.00 0.00 80.00 80.00
Meltzer, Jamie C 0.00 0.00 0.00 0.00 0.00 0.00 338.04 338.04
Burton, Linda J 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Scarbrough, Roberta P 0.00 0.00 0.00 0.00 0.00 0.00 204.71 204.71
McNally, Carolyn C 0.00 0.00 0.00 0.00 0.00 0.00 250.37 250.37
Allen, Madison J 0.00 0.00 0.00 0.00 0.00 0.00 312.43 312.43
Duffey, Norma J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Taylor, Thelma F 0.00 0.00 0.00 0.00 0.00 0.00 70.62 70.62
Ward, Catherine M 0.00 0.00 0.00 0.00 0.00 0.00 724.20 724.20
Burns, Toni V 0.00 0.00 0.00 0.00 0.00 0.00 79.00 79.00
Fraser, Sally J 0.00 0.00 0.00 0.00 0.00 0.00 31.94 31.94
Favreau, Imogene M 0.00 0.00 0.00 0.00 0.00 0.00 78.69 78.69
Taylor, Velma S 0.00 0.00 0.00 0.00 0.00 0.00 65.00 65.00
Bragg, Karen A 0.00 0.00 0.00 0.00 0.00 0.00 17.08 17.08
Delarosa, Jennifer W 0.00 0.00 0.00 0.00 0.00 0.00 335.00 335.00
Brown, Sandra A 0.00 0.00 0.00 0.00 0.00 0.00 13.50 13.50
Judd, Ramona B 0.00 0.00 0.00 0.00 0.00 0.00 16.43 16.43
Torrence, Alisa D 0.00 0.00 0.00 0.00 0.00 0.00 18.46 18.46
Guerrero, Jaime R 0.00 0.00 0.00 0.00 0.00 0.00 8.57 8.57
Heaton, Kimberly G 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Neal, Anita D 0.00 0.00 0.00 0.00 0.00 0.00 124.00 124.00
French, Penny M 0.00 0.00 0.00 0.00 0.00 0.00 166.32 166.32
Leroy, Cheyenne D 0.00 0.00 0.00 0.00 0.00 0.00 267.43 267.43
Roberts, Joyce W 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
Harvey, Maria W 0.00 0.00 0.00 0.00 0.00 0.00 27.70 27.70
34
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Hull, Linda W 0.00 0.00 0.00 0.00 0.00 0.00 982.64 982.64
Henry, Patti B 0.00 0.00 0.00 0.00 0.00 0.00 3.15 3.15
Hardesty, Cheryl S 0.00 0.00 0.00 0.00 0.00 0.00 472.32 472.32
Terrones, Heather C 0.00 0.00 0.00 0.00 0.00 0.00 2,164.11 2,164.11
Johnson, Frances S 0.00 0.00 0.00 0.00 0.00 0.00 90.26 90.26
Hall, Louis J 0.00 0.00 0.00 0.00 0.00 0.00 270.13 270.13
Heap, Ramona J 0.00 0.00 0.00 0.00 0.00 0.00 54.25 54.25
Fraizer, Francine R 0.00 0.00 0.00 0.00 0.00 0.00 4.00 4.00
Luna, Eleanor T 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Casey, Melissa J 0.00 0.00 0.00 0.00 0.00 0.00 80.00 80.00
Noah, Louise L 0.00 0.00 0.00 0.00 0.00 0.00 39.60 39.60
Helfrich, Cindy G 0.00 0.00 0.00 0.00 0.00 0.00 182.11 182.11
Taylor, Lucia T 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Guerra, Tara H 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Hallam, Emily H 0.00 0.00 0.00 0.00 0.00 0.00 100.26 100.26
Big, Patricia A 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Hernandez, May W 0.00 0.00 0.00 0.00 0.00 0.00 476.97 476.97
Ellis, Alene P 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Harrison, Lindsay Z 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Salamone, Barbara C 0.00 0.00 0.00 0.00 0.00 0.00 3.68 3.68
Bradshaw, Allegra J 0.00 0.00 0.00 0.00 0.00 0.00 19.00 19.00
Riley, Leona J 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Taylor, Debbie T 0.00 0.00 0.00 0.00 0.00 0.00 331.72 331.72
Harris, Sally A 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Mann, Angela J 0.00 0.00 0.00 0.00 0.00 0.00 325.00 325.00
McIntyre, Mozelle B 0.00 0.00 0.00 0.00 0.00 0.00 197.97 197.97
Moseley, Cherry J 0.00 0.00 0.00 0.00 0.00 0.00 705.00 705.00
Lobato, Sandra A 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00
Price, Michelle J 0.00 0.00 0.00 0.00 0.00 0.00 94.80 94.80
Prentice, Marie S 0.00 0.00 0.00 0.00 0.00 0.00 4.04 4.04
Miller, Debbie R 0.00 0.00 0.00 0.00 0.00 0.00 885.00 885.00
Abbott, Keri T 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Brown, Katina R 0.00 0.00 0.00 0.00 0.00 0.00 7.70 7.70
Russo, Jeanne R 0.00 0.00 0.00 0.00 0.00 0.00 34.94 34.94
Sullivan, Mary D 0.00 0.00 0.00 0.00 0.00 0.00 2.95 2.95
Johnson, Sharon R 0.00 0.00 0.00 0.00 0.00 0.00 92.35 92.35
Perham, Nicole T 0.00 0.00 0.00 0.00 0.00 0.00 689.05 689.05
Mowbray, Dina E 0.00 0.00 0.00 0.00 0.00 0.00 278.53 278.53
Pierce, Sheryl S 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Brunner, Lillian M 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
35
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Mayfield, Courtney K 0.00 0.00 0.00 0.00 0.00 0.00 308.94 308.94
Ortega, Margaret J 0.00 0.00 0.00 0.00 0.00 0.00 4.84 4.84
Finkelstein, Edna W 0.00 0.00 0.00 0.00 0.00 0.00 151.54 151.54
Watkins, Jessica F 0.00 0.00 0.00 0.00 0.00 0.00 1,036.06 1,036.06
Blandon, Charlene T 0.00 0.00 0.00 0.00 0.00 0.00 1.91 1.91
Dobbins, Carol M 0.00 0.00 0.00 0.00 0.00 0.00 845.55 845.55
Vedder, Frances D 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Ray, Amanda R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Shade, Jennifer E 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Pope, Jessica W 0.00 0.00 0.00 0.00 0.00 0.00 49.92 49.92
Morin, Ruth L 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Jackson, Virginia J 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Ramirez, Donna L 0.00 0.00 0.00 0.00 0.00 0.00 100.00 100.00
Parrish, Lily M 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
McKinney, Kay S 0.00 0.00 0.00 0.00 0.00 0.00 0.50 0.50
Fielder, Linda J 0.00 0.00 0.00 0.00 0.00 0.00 80.00 80.00
Friesen, Tanya J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Burpee, Ellen D 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Figueroa, Alice K 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Sandoval, Cornelia J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Allison, Kathy G 0.00 0.00 0.00 0.00 0.00 0.00 3.19 3.19
Aldridge, Beatrice N 0.00 0.00 0.00 0.00 0.00 0.00 30.40 30.40
Allen, Earline J 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Rhodes, Amanda C 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Bartholomew, Laverne A 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Mathis, Mildred T 0.00 0.00 0.00 0.00 0.00 0.00 59.03 59.03
Green, Rachel M 0.00 0.00 0.00 0.00 0.00 0.00 51.33 51.33
Felix, Ella P 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Jones, Marion D 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Abramowitz, Kathleen C 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Wilcox, Kristina J 0.00 0.00 0.00 0.00 0.00 0.00 30.50 30.50
Taylor, Carmen B 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Thompson, Dolores G 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Caraballo, Margaret G 0.00 0.00 0.00 0.00 0.00 0.00 189.21 189.21
Keyes, Joan N 0.00 0.00 0.00 0.00 0.00 0.00 34.84 34.84
Martinez, Brenda T 0.00 0.00 0.00 0.00 0.00 0.00 21.25 21.25
Honore, Nancy W 0.00 0.00 0.00 0.00 0.00 0.00 77.38 77.38
Christofferso, Deborah M 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
McKnight, Lynda T 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Harris, Patty L 0.00 0.00 0.00 0.00 0.00 0.00 646.07 646.07
36
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Vance, Gail B 0.00 0.00 0.00 0.00 0.00 0.00 25.00 25.00
Byrne, Dorothy B 0.00 0.00 0.00 0.00 0.00 0.00 17.59 17.59
Buckles, Teresa E 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Parker, Betty K 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Nieves, Doris D 0.00 0.00 0.00 0.00 0.00 0.00 13.50 13.50
Mulholland, Flora C 0.00 0.00 0.00 0.00 0.00 0.00 2.95 2.95
Bryan, Rita F 0.00 0.00 0.00 0.00 0.00 0.00 200.00 200.00
Baker, Erminia M 0.00 0.00 0.00 0.00 0.00 0.00 1,247.73 1,247.73
Morris, Dana R 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Dial, Amy W 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Cleghorn, Lou W 0.00 0.00 0.00 0.00 0.00 0.00 1.80 1.80
Kistler, Lucia E 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Sinclair, Madie C 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Simms, Mary T 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Henry, Halina F 0.00 0.00 0.00 0.00 0.00 0.00 17.08 17.08
Wormley, Linda B 0.00 0.00 0.00 0.00 0.00 0.00 53.25 53.25
Jurgensen, Graciela G 0.00 0.00 0.00 0.00 0.00 0.00 29.00 29.00
Topete, Monika J 0.00 0.00 0.00 0.00 0.00 0.00 100.32 100.32
Weber, Velma K 0.00 0.00 0.00 0.00 0.00 0.00 80.00 80.00
Culp, Marhta J 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
King, Tanya A 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Minor, Lena W 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Fuentes, Nancy K 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Stanley, Jovita D 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
JEFFERSON, JENNY H 0.00 0.00 0.00 0.00 0.00 0.00 38.73 38.73
Williamson, Yolanda D 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Grout, Maria J 0.00 0.00 0.00 0.00 0.00 0.00 45.00 45.00
Jordan, Mildred B 0.00 0.00 0.00 0.00 0.00 0.00 77.83 77.83
Howard, Janet F 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Staton, Luz J 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Venable, Loretta L 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Temple, Jennifer A 0.00 0.00 0.00 0.00 0.00 0.00 300.00 300.00
Strange, Jeanette L 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Carroll, Brenda R 0.00 0.00 0.00 0.00 0.00 0.00 0.24 0.24
Miles, June F 0.00 0.00 0.00 0.00 0.00 0.00 142.82 142.82
Plath, Mildred J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Smart, Marjorie T 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Echevarria, Patricia T 0.00 0.00 0.00 0.00 0.00 0.00 398.11 398.11
Stephens, Vera G 0.00 0.00 0.00 0.00 0.00 0.00 27.01 27.01
Jones, Lisa J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
37
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Kellerman, Viola R 0.00 0.00 0.00 0.00 0.00 0.00 12.32 12.32
Surface, Emma M 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Cooper, Susan J 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Hardin, Kristin R 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Moore, Heather D 0.00 0.00 0.00 0.00 0.00 0.00 127.47 127.47
Wallace, Guadalupe D 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Gallo, Juliana T 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
BOLIVAR, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 156.33 156.33
Fitzpatrick, Harriette W 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
PENNELLA, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 31.27 31.27
GROZA, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 75.25 75.25
Burdette, Phyllis J 0.00 0.00 0.00 0.00 0.00 0.00 218.93 218.93
Evans, Melanie R 0.00 0.00 0.00 0.00 0.00 0.00 42.00 42.00
Lewis, Nellie T 0.00 0.00 0.00 0.00 0.00 0.00 17.00 17.00
Blake, Becky F 0.00 0.00 0.00 0.00 0.00 0.00 170.76 170.76
Brown, Billie G 0.00 0.00 0.00 0.00 0.00 0.00 141.29 141.29
Osteen, Catherine M 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00
Marquez, Kelsey M 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Corker, Ella R 0.00 0.00 0.00 0.00 0.00 0.00 295.00 295.00
Hayes, Alexa A 0.00 0.00 0.00 0.00 0.00 0.00 39.50 39.50
Franqui, Anne K 0.00 0.00 0.00 0.00 0.00 0.00 234.17 234.17
Williams, Clarice J 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Graham, Tammy G 0.00 0.00 0.00 0.00 0.00 0.00 1,803.91 1,803.91
Eggers, Alicia E 0.00 0.00 0.00 0.00 0.00 0.00 244.00 244.00
Bates, Brittaney L 0.00 0.00 0.00 0.00 0.00 0.00 181.35 181.35
Bard, Lori N 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
McCraney, Debra W 0.00 0.00 0.00 0.00 0.00 0.00 1.90 1.90
Coleman, Esperanza A 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
McLendon, Kelly R 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Hale, Helen S 0.00 0.00 0.00 0.00 0.00 0.00 295.43 295.43
Aubin, Virginia E 0.00 0.00 0.00 0.00 0.00 0.00 50.00 50.00
Thomas, Nancy D 0.00 0.00 0.00 0.00 0.00 0.00 89.96 89.96
Rodriguez, Barbara C 0.00 0.00 0.00 0.00 0.00 0.00 179.52 179.52
OCONNOR, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 136.47 136.47
LAURITO, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 450.00 450.00
Leger, Anna E 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Foster, Hazel C 0.00 0.00 0.00 0.00 0.00 0.00 386.25 386.25
Dorey, Alysia C 0.00 0.00 0.00 0.00 0.00 0.00 87.86 87.86
Flory, Laura G 0.00 0.00 0.00 0.00 0.00 0.00 434.98 434.98
Nelson, Ashley M 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
38
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Shea, Paula A 0.00 0.00 0.00 0.00 0.00 0.00 65.00 65.00
Cronk, Leah W 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Harr, Sue R 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
MOREA, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 700.00 700.00
Marrone, Melissa V 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Silverman, Lorraine K 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Carney, Maureen C 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Lisk, Betty W 0.00 0.00 0.00 0.00 0.00 0.00 4.84 4.84
Martini, Christina C 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Barnard, Deanna R 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Pearson, Desiree J 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Espiritu, Charlene L 0.00 0.00 0.00 0.00 0.00 0.00 6.97 6.97
GUALTIERE, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 700.00 700.00
Phelps, Susan D 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
COLANDREA, NICOLA 0.00 0.00 0.00 0.00 0.00 0.00 3.52 3.52
Davis, Valerie B 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
Lee, Connie S 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
Hume, Sharon R 0.00 0.00 0.00 0.00 0.00 0.00 23.68 23.68
MAHMOOD, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 700.00 700.00
Jacobs, Mia L 0.00 0.00 0.00 0.00 0.00 0.00 2.90 2.90
Olson, Susan C 0.00 0.00 0.00 0.00 0.00 0.00 190.77 190.77
Franklin, Crystal T 0.00 0.00 0.00 0.00 0.00 0.00 174.21 174.21
Ayala, Arlene T 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
RAFFINELLO, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 15.64 15.64
Ragan, Shante J 0.00 0.00 0.00 0.00 0.00 0.00 2,450.00 2,450.00
BORZELL, PAUL 0.00 0.00 0.00 0.00 0.00 0.00 0.18 0.18
MABELO, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 83.47 83.47
TSE, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 208.49 208.49
Hatfield, Nicole T 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
SMITH-MICKEL, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00
Allen, Kelly A 0.00 0.00 0.00 0.00 0.00 0.00 62.12 62.12
Streets, Rebecca J 0.00 0.00 0.00 0.00 0.00 0.00 151.34 151.34
DELANEY, BABYBOY 0.00 0.00 0.00 0.00 0.00 0.00 70.42 70.42
Lewis, Rosemary M 0.00 0.00 0.00 0.00 0.00 0.00 89.63 89.63
Kaye, Ana M 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
IACOVONE , BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 208.49 208.49
Gutierrez, Linda W 0.00 0.00 0.00 0.00 0.00 0.00 90.00 90.00
Delacruz, Lucy B 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Collier, Phyllis A 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Stewart, Jeanette M 0.00 0.00 0.00 0.00 0.00 0.00 35.00 35.00
39
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Core, Jean C 0.00 0.00 0.00 0.00 0.00 0.00 31.00 31.00
RUIZ, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 128.47 128.47
GUERRIER, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 156.33 156.33
Drummond, Sonja J 0.00 0.00 0.00 0.00 0.00 0.00 55.35 55.35
Vigil, Sandra J 0.00 0.00 0.00 0.00 0.00 0.00 27.35 27.35
KELLY, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 12.51 12.51
Smith, Jennie R 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Cheng, Katie D 0.00 0.00 0.00 0.00 0.00 0.00 60.00 60.00
Easterling, Suzette H 0.00 0.00 0.00 0.00 0.00 0.00 102.72 102.72
RAMKHELAWAN, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 83.46 83.46
RAMIREZ, ADRIAN 0.00 0.00 0.00 0.00 0.00 0.00 145.11 145.11
Weishaar, Edna J 0.00 0.00 0.00 0.00 0.00 0.00 4.31 4.31
ANDERSON, ROBERT G 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Despres, Jesus E 0.00 0.00 0.00 0.00 0.00 0.00 14.63 14.63
Koenig, Maude R 0.00 0.00 0.00 0.00 0.00 0.00 166.93 166.93
Rogers, Mary J 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
CORTES, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 125.00 125.00
Gainey, Annie S 0.00 0.00 0.00 0.00 0.00 0.00 59.74 59.74
Christner, Esther W 0.00 0.00 0.00 0.00 0.00 0.00 121.00 121.00
OBERG, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 700.00 700.00
Brown, Enid P 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
LABASI, NICOLAS 0.00 0.00 0.00 0.00 0.00 0.00 12.51 12.51
SCHAEFER, JEFFREY DAVID 0.00 0.00 0.00 0.00 0.00 0.00 30.00 30.00
Talbot, Ursula S 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Velasquez, Abby F 0.00 0.00 0.00 0.00 0.00 0.00 15.00 15.00
Conn, Shannon I 0.00 0.00 0.00 0.00 0.00 0.00 100.00 100.00
RODRIGUEZ, CARLOS 0.00 0.00 0.00 0.00 0.00 0.00 40.00 40.00
TAPIC , BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 112.05 112.05
Campbell, Lupe A 0.00 0.00 0.00 0.00 0.00 0.00 87.11 87.11
Rubio, Lucia R 0.00 0.00 0.00 0.00 0.00 0.00 6.25 6.25
McAllister, Lorie L 0.00 0.00 0.00 0.00 0.00 0.00 14.56 14.56
Vazquez, Tamela C 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00
Sakamoto, Anne C 0.00 0.00 0.00 0.00 0.00 0.00 195.06 195.06
Gutierrez, Diana D 0.00 0.00 0.00 0.00 0.00 0.00 10.00 10.00
Boucher, Kim N 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
WALCOTT, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 700.00 700.00
QUINTANA, DAVID 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
Cowan, Barbara M 0.00 0.00 0.00 0.00 0.00 0.00 20.00 20.00
HOLBREICH, BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 43.54 43.54
JOHNSON , BABY BOY 0.00 0.00 0.00 0.00 0.00 0.00 80.02 80.02
40
Summary Patient/Guarantor Balance and_Aging ReportType: ALL Name: Case Type:
Generated by admin, admin on 02/25/2016
Patient Sub Total 0.00 0.00 0.00 0.00 0.00 0.00 74,588.85 74,588.85
Case Type Sub Total 0.00 0.00 0.00 0.00 0.00 0.00 74,588.85 74,588.85
Total 0.00 0.00 0.00 0.00 0.00 0.00 74,588.85 74,588.85