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December 2015 Group Health Fund ISAs of 1/14/16 October 2015 November 2015 December 2015 YTD General Fund Contribution 186,647.50 186,647.50 186,647.50 559,942.50 Wastewater Fund Contribution 17,225.00 17,225.00 17,225.00 51,675.00 Sanitation Fund Contribution 23,187.50 23,187.50 23,187.50 69,562.50 Judicial Fund Contribution 3,975.00 3,975.00 3,975.00 11,925.00 Employee Contribution 50,354.37 50,377.11 53,597.68 154,329.16 Stop Loss Reimbursement - Interest Income 17.84 13.17 11.16 42.17 281,407.21 281,425.28 284,643.84 847,476.33 Expenses Affordable Care Act Fees 13,500.00 26,383.28 39,883.28 Claims Costs 280,093.21 267,646.83 394,591.97 942,332.01 CareHere Clinic Costs 46,155.03 39,048.15 19,627.34 104,830.52 339,748.24 333,078.26 414,219.31 1,087,045.81 Net (58,341.03) (51,652.98) (129,575.47) (239,569.48) Group Health Fund Account 424,556.06$ 377,974.56$ 165,431.54$ City of Prattville Group Health Fund Income Statement