Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging...
Transcript of Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging...
![Page 1: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/1.jpg)
2
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
![Page 2: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/2.jpg)
3
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
![Page 3: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/3.jpg)
4
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
![Page 4: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/4.jpg)
5
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
![Page 5: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/5.jpg)
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
![Page 6: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/6.jpg)
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
![Page 7: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/7.jpg)
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
![Page 8: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/8.jpg)
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
![Page 9: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/9.jpg)
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
![Page 10: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/10.jpg)
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
![Page 11: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/11.jpg)
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
![Page 12: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/12.jpg)
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
![Page 13: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/13.jpg)
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
![Page 14: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/14.jpg)
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
![Page 15: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/15.jpg)
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
![Page 16: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/16.jpg)
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
![Page 17: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/17.jpg)
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
![Page 18: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/18.jpg)
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
![Page 19: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/19.jpg)
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
![Page 20: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/20.jpg)
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
![Page 21: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/21.jpg)
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
![Page 22: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/22.jpg)
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
![Page 23: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/23.jpg)
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
![Page 24: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/24.jpg)
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
![Page 25: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/25.jpg)
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
![Page 26: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/26.jpg)
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
![Page 27: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/27.jpg)
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
![Page 28: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/28.jpg)
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
![Page 29: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/29.jpg)
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
![Page 30: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/30.jpg)
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
![Page 31: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/31.jpg)
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
![Page 32: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/32.jpg)
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
![Page 33: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/33.jpg)
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
![Page 34: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/34.jpg)
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
![Page 35: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/35.jpg)
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
![Page 36: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/36.jpg)
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
![Page 37: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/37.jpg)
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
![Page 38: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/38.jpg)
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
![Page 39: Summary Patient/Guarantor Balance and Aging Report...4 Summary Patient/Guarantor Balance and_Aging Report Type: ALL Name: Case Type: Generated by admin, admin on 02/25/2016 Antonucci,](https://reader036.fdocuments.in/reader036/viewer/2022063002/5f3b5fe9ded6c02ed03747ed/html5/thumbnails/39.jpg)
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