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

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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

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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

8

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