923456-26-5-3-1.pdf

ST. TAMMANY PARISH

MICHAEL B. COOPER

PARISH PRESIDENT

PROCUREMENT DEPARTMENT

P.O. BOX 628 | COVINGTON, LOUISIANA | 70434 | PROCUREMENT@STPGOV.ORG | 985-898-2520

WWW.STPGOV.ORG

Version 2026.1

June 11, 2026

Please find the following addendum to the below-mentioned RFP.

Addendum No.: 1

RFP#: 26-5-3

Project Name: Rebid Jail Health care Services

RFP Due Date: Tuesday, June 16, 2026

QUESTIONS & ANSWERS:

Question 1. Is there a number the Parish is hoping to meet or aim for? Are you looking for a flat annual fee or fee per inmate model?

Answer 1. We would like an annual fee based on a set number of inmates with a reduction or increase based on the number of inmates during the year.

Question 2. We see that in RFP Section 1.3 Schedule of Events, the Parish lists the date for mailing

Notices of Intent to Award as “TBD.” Could the Parish please provide at least a targeted date range for this, so vendors canestimate how much time they will have between award and Day One to transition the contract?

Answer 2. The goal is to have the contract awarded and the new vendor to start by July 1, 2026.

Question 3. Please indicate the average number of individuals the Parish houses for each of these agencies or jurisdictions.

Answer 3. Total will be around 200 to 300 but the awarded vendor will not be responsible for this.

Question 4. How are authorizations for offsite services handled for each of these agencies or jurisdictions?

Answer 4. Awarded vendor will not be responsible for this.

Question 5. How is the cost of offsite services handled for each of these agencies or jurisdictions?

Answer 5. Awarded vendor will not be responsible for this.

http://www.stpgov.org/

Question 6. Please provide (by year) the amounts of any staffing paybacks/credits the Parish has assessed against the incumbent vendor over the term of the current contract.

Answer 6. See the attached Labor Variance FY24&25 Attachment.

Question 7. Please provide (by year) the amounts and reasons for any non-staffing penalties/ liquidated damages the Parish has assessed against the incumbent vendor over the term of the current contract.

Answer 7. None.

Question 8. Is the Jail currently subject to any court orders or legal directives? If “yes,” please provide copies of the order/directive.

Answer 8. No.

Question 9. With regard to lawsuits (frivolous or otherwise) pertaining to inmate health care:

a. How many have been filed against the Parish and/or the incumbent health care provider in the last three years?

b. How many have been settled in that timeframe?

Answer 9. a. There is no court order or consent decree that impacts healthcare.

b. We are aware of two pending suits.

Question 10. Please provide the following data regarding the size of the inmate population.

a. Three years’ worth of facility-specific historical data

b. Five-year population projections

Answer 10. a. See attached Historical Parish Inmate Population

b. Our current average population for June 2026 is 1007 inmates. The inmate population has been rising, and we anticipate that it will continue to rise.

Question 11. Please provide three years’ worth of historical data on the number of Jail intakes.

Answer 11. This information is not available at this time

Question 12. Is the Jail currently accredited, e.g., by the American Correctional Association (ACA), National Commission on Correctional Health Care (NCCHC), Joint Commission, Commission on Accreditation of Rehabilitation Facilities (CARF), etc.? If “yes,” please provide the following information.

a. Name of the entity that awarded the accreditation

b. Most recent accreditation date for the facility

c. Copy of most recent accreditation audit report for the facility

Answer 12. The jail is not currently accredited by we desire to obtain NCCHC Accreditation by the end of 2027.

a. This information is not available at this time

b. This information is not available at this time

c. This information is not available at this time

Question 13. The RFP notes that the Staffing Plan on Page 9 is “for demonstrative purposes only and does not represent the desired or anticipated staffing matrix.” Since there was no site tour and vendors were not able to see the Jail firsthand to perform a staffing analysis, please (a) provide the actual health care staffing in place at the Jail (by shift and day of the week) and

(b) indicate any hours or positions that the Parish would like to see added or removed.

Answer 13. The census at the jail is currently 30% higher than it was when the existing staff plan was created; however, the existing staffing plan is attached. See Staffing Attachment.

Question 14. Please provide a listing of any current health service vacancies at the Jail, by position.

Answer 14. This information is not available at this time

Question 15. Is the incumbent health services vendor currently filling any site-level positions through a staffing agency? If “yes,” please provide the following information on this topic.

a. The number of agency staff members, by position (e.g., RNs, LPNs, etc.)

b. The agency billing rate the incumbent is paying for each position

Answer 15. This information is not available at this time

Question 16. Please indicate the length of time each of the following staff members has been in their position at the Jail.

a. Site Health Services Administrator (HSA)

b. Site Director of Nursing (DON)

c. Site Medical Director

Answer 16. This information is not available at this time

Question 17. On average, how long does it take for the Parish to complete the security clearance process for a new member of the health services team?

Answer 17. Approximately one week.

Question 18. Please confirm that if the awarded vendor retains existing health care staff who are already credentialed, those incumbent staff will not need to go through the credentialing all over again with the new vendor.

Answer 18. Incumbent staff will NOT need to go through the credential process again.

Question 19. Are any members of the current health service workforce unionized? If yes, please provide the following.

a. A copy of each union contract

b. Complete contact information for a designated contact person at each union

c. The number of union grievances that resulted in arbitration cases over the last 12 months

Answer 19. This information is not available at this time

Question 20. Please provide the salaries/wages your incumbent health service Vendor is paying to its staff at the Jail.

a. How recent is this data?

b. What is the source of this data (e.g., State/Parish records, data from the incumbent

Vendor, etc.)?

Answer 20. This information is not available at this time

Question 21. Please confirm that labor hours in the following categories will count toward the number of “hours provided” required by the contract and will not be subject to staffing paybacks or penalties.

a. Time spent by health care staff in orientation, in-service training, and continuing education classes

b. Overtime hours

c. Agency hours

d. Approved paid-time-off

Answer 21. This information is not available at this time

Question 22. Please list all medical equipment (e.g., blood pressure cuffs, scales, x-ray machines, etc.)

currently in use at the health care units and identify which items on the list will remain in place for the new Vendor to use.

Answer 22. None. Current equipment will not be of use to the awarded vendor.

Question 23. Please list all office equipment (e.g., PCs, printers, fax machines, copiers, etc.) currently in use at the health care units and identify which items on the list will remain in place for the new Vendor to use.

Answer 23. None. All copy machines, computers, etc. are owned by current vendor.

Question 24. Does the Parish maintain any full-time information technology (IT) staff at the Jail? If not, please describe any Parish IT resources that would be able to assist with hardware/software tasks that need to be performed hands-on, in person at the facility.

Answer 24. This information is not available at this time

Question 25. Please provide the name and version of the offender management system software currently in use at the Jail. Does the Parish have any plans to change to a different system within the next few years?

Answer 25. JMS MobileTec; No further information is available.

Question 26. With regard to health care staff accessing the Internet, please provide the following information:

a. Do vendor staff access the Internet through (i) a Parish network or (ii) the vendor’s network?

b. Please describe how this currently happens, i.e., what type of hardware, wiring, and connectivity is in place.

c. Who (Parish or vendor) is financially responsible for this hardware, wiring, and connectivity?

d. Who (Parish or vendor) will be financially responsible for any necessary upgrades or expansions for this hardware, wiring, and connectivity?

Answer 26. This information is not available at this time

Question 27. Is there currently WiFi capability within the Jail?

a. If “yes,” who is providing this capability, (a) the incumbent vendor or (b) the Parish?

b. What hardware is utilized to provide the WiFi capability?

c. How many wireless access points exist within each facility?

Answer 27. This information is not available at this time

Question 28. With regard to health care staff accessing the Parish network, please provide the following information.

a. Currently, are the computers used by health care staff on (a) the Parish network or (b) a private network supplied by the health care vendor?

b. Will this scenario continue under the new contract?

c. Will the Parish permit the incoming health care vendor to utilize existing network infrastructure at the facilities, e.g., wiring, switches, etc.?

d. Who is financially responsible for network upgrades, additions, or expansions necessary to support the Parish jail health care program?

Answer 28. a. The current computers are on the STPSO network.

b. This information is not available at this time

d. The vendor is responsible for any necessary upgrades.

Question 29. With regard to timeclocks or other timekeeping devices, please provide the following information.

a. The number of timeclocks in place at the Jail

b. Where in the building they are located (for example, in the lobbies, at the security sally ports, in the medical units, etc.)

c. Will the Parish allow the incoming Contractor connect its timeclocks to the Parish network?

Answer 29. a. The current vendor has 1 timeclock at the jail, but it will not be available to the new healthcare vendor.

b. This information is not available at this time

Question 30. Does the Jail currently utilize an electronic health record (EHR)? If “yes,” please provide the following information:

a. What is the name and version of the EHR that is in place?

b. Is the existing EHR agreement/licensure/ownership in (a) the Parish’s name or (b) the incumbent health care vendor’s name?

c. Can the incoming vendor take over the existing EHR agreement/licensure?

d. Where and by what company/agency is the EHR currently hosted?

e. Who is financially responsible for the cost of hosting the EHR?

f. Will this arrangement continue under the new contract?

g. Does the Parish have any concerns with the EHR being hosted in the cloud?

h. Will the Parish allow authorized providers and other staff not located onsite at the Jail

(e.g., regional/corporate leadership, hospital-based providers, etc.) to have remote access to the

EHR?

i. What interfaces are currently in place with the existing EHR, for example, the Offender

Management System, the current pharmacy subcontractor, the current lab services contractor, etc.?

Answer 30. This information is not available at this time

Question 31. Does the Jail currently utilize telehealth? If so, please provide the following information.

a. Description of any equipment that will remain in place for the new vendor to use

b. Description of the telehealth connectivity (network) that will remain in place for the new vendor to use

c. The type of telehealth clinic (e.g., telepsychiatry, telecardiology, etc.)

d. How often each telehealth clinic is currently conducted (e.g., weekly, monthly, as-needed, etc.)

e. The length of each telehealth clinic currently conducted (e.g., day, half-day, etc.)

f. The average number of patients in each telehealth clinic

g. The name and contact information for the tele-provider who conducts each telehealth clinic

Answer 31. Telehealth is used for on-call purposes. Information about the other questions is not available.

Question 32. What pharmacy subcontractor does your current health care vendor use for pharmacy services, e.g., Diamond, Correct Rx, Boswell, etc.?

Answer 32. Diamond.

Question 33. What laboratory subcontractor does your current health care vendor use for lab services, e.g., LabCorp, Garcia, Bio-Reference, etc.?

Answer 33. This information is not available at this time

Question 34. Are any x-ray services currently provided onsite? If “yes,” is this done (a) with permanent

Parish-owned xray equipment or (b) through a mobile radiology vendor (PLEASE

IDENTIFY VENDOR)?

Answer 34. This information is not available at this time

Question 35. Are any dental services currently provided onsite? If “yes,” is this done (a) with permanent

Parish-owned dental equipment or (b) through a mobile dentistry practice (PLEASE

IDENTIFY DENTAL PRACTICE)?

Answer 35. This information is not available at this time

Question 36. Are any optometry services currently provided onsite? If “yes,” is this done (a) with permanent Parish-owned optometry equipment or (b) through a mobile optometry vendor

(PLEASE IDENTIFY VENDOR)?

Answer 36. This information is not available at this time

Question 37. Are any dialysis services currently provided onsite? If “yes,” is this done (a) with permanent Parish-owned dialysis equipment or (b) through a mobile dialysis vendor

(PLEASE IDENTIFY VENDOR)?

Answer 37. Services are provided off-site.

Question 38. Which hospital(s) does the Jail use most frequently?

Answer 38. St. Tammany Parish Hospital.

Question 39. Does the Parish participate in any programs or legislation (e.g., the Affordable Care Act, Medicaid expansion, Workers Compensation, State law, etc.) that mandate special discounts for inpatient care for Jail patients? If “yes,” please provide the following information.

a. Name and brief description of the program

b. What services are discounted under the program?

c. Who is responsible for enrolling Jail patients in the program?

d. Please provide the current processes and timeframes for (a) enrollment in the program and (b) payment at the program’s discounted rates.

e. Who is financially responsible for the cost of inpatient services for individuals who (for any one of a variety of reasons) are not eligible to be enrolled in the

Medicaid program?

f. For each of the past three years, please indicate what percentage of approved inpatient services was covered by Medicaid.

g. For each of the past three years, what is the dollar amount (if any) of inpatient services that were NOT covered by Medicaid?

Answer 39. This information is not available at this time

Question 40. With regard to any specialty care clinics currently conducted onsite at the Jail, please provide the following information.

a. The type of specialty clinic (e.g., orthopedics, neurology, etc.)

b. How often each specialty clinic is currently conducted (e.g., weekly, monthly, as-needed, etc.)

c. The length of each specialty clinic currently conducted (e.g., day, half-day, etc.)

d. The average number of patients in each specialty clinic

e. The name and contact information for the provider who operates each specialty clinic

Answer 40. This information is not available at this time

Question 41. Please identify the number, type, and timeframes of any backlogs (chronic care clinics, offsite referrals, dental encounters, etc.) that currently exist at the Jail.

Answer 41. This information is not available at this time

Question 42. Please provide the following information about any medical, behavioral health, or other special needs units (infirmary, addiction recovery, sex offender, geriatric, skilled nursing, hospice, etc.) at the Jail.

a. Type of each unit

b. Location of each unit

c. Capacity of each unit

d. Average occupancy of each unit

e. Staffing for each unit

f. Type of services/Acuity able to be handled in each unit

Answer 42. There is a restricted housing unit for mental health patients, contagious conditions, suicide watch, etc. Average occupancy and other information are not available.

Question 43. For each of the past 36 months, please provide the following mental health data.

a. Number of individuals on suicide watch each month

b. Number of suicide attempts

c. Number of successful suicides

d. Number of self-injurious behavior incidents

Answer 43. This information is not available at this time

Question 44. Who is responsible for conducting suicide watches?

Answer 44. Jail Security.

Question 45. With regard to Medication-Assisted Treatment (MAT)/ Medications for Opioid Use

Disorder (MOUD) programs, please provide the following information.

a. Please describe any MAT/MOUD program that the Jail currently has in place.

b. Who will be financially responsible for the cost of MAT/MOUD medications?

c. Please provide the Jail’s current protocols for determining who receives MAT/MOUD treatment.

d. For each of the past two years, please provide the average number of Jail patients receiving

MAT/MOUD treatment.

e. Please indicate which of the three FDA-approved MAT/MOUD drugs the Jail currently uses/prescribes in its program(s) and provide a breakdown of how many patients are being prescribed each medication.

f. Is the Jail currently using any long-acting injectable MAT medications for its incarcerated patients?

g. Is the Jail certified as an Opioid Treatment Program?

h. If not, please provide the name and the amount of the fee charged (if any) by the licensed

Opioid Treatment Program (OTP) through which the Jail currently obtains and manages methadone for MOUD patients.

Answer 45. This information is not available at this time.

Question 46. Is the Jail currently using an electronic medication verification system (e.g., Doctor First, Cerner, etc.) at intake? If “yes,” please identify which system is in use.

Answer 46. This information is not available at this time

Question 47. With regard to medication administration.

a. Who administers the medications (RNs, LPNs, or other position)?

b. Is the current process: (a) med carts go to the housing units or (b) patients come to the medical unit?

c. How often does med pass occur each day?

d. On average, (a) how many FTEs and (b) how long does it take to perform a med pass?

Answer 47. This information is not available at this time

Question 48. Please provide copies of the following documents.

a. The drug formulary currently in use

b. The most recent pharmacy report

c. The lab test formulary currently in use

Answer 48. This information is not available at this time.

Question 49. On average, how many Jail patients per month receive these types of prescription drugs?

a. Psychotropic medications

b. Hepatitis C medications

c. HIV/AIDS medications

d. Medications to treat bleeding disorders (e.g., hemophilia, Von Willebrand disease, etc.)

Answer 49. This information is not available at this time

Question 50. Does the Jail currently participate in any 340B pharmacy discount programs? If “yes,” please provide the following information about the program.

a. What specialties (categories of medication) does the 340B agreement cover, e.g., HIV meds, Hepatitis C, cancer, etc.

b. Please identify the Federally Qualified Health Center (FQHC) or other 340B-certified health care entity whose physicians are prescribing the drugs for the current program.

c. Which pharmacy is providing the 340B medications?

Answer 50. This information is not available at this time

Question 51. Are any transgender individuals in Jail custody currently awaiting gender reassignment surgery? If “yes,” please indicate how many.

Answer 51. None Currently.

Question 52. For each of the past 36 months, please provide statistical data for each of the following categories.

a. Number of (offsite) inpatient hospital admissions

b. Number of (offsite) inpatient hospital days

c. Number of outpatient surgeries

d. Number of outpatient referrals

e. Number of trips to the emergency department (ED)

f. Number of ED referrals resulting in hospitalization

g. Number of ground ambulance transports

h. Number of air ambulance transports

i. Number of dialysis treatments

Answer 52. This information is not available at this time

Question 53. Please provide the following information relating to the Jail’s use of Skilled Nursing

Facilities (SNFs) or Long-Term-Acute Care Facilities (LTACs).

a. For each of the past 3 years, please indicate how many (if any) Jail patients have been admitted to a SNF or an LTAC.

b. Please provide the average length of stay (ALOS) for the Jail’s SNF/LTAC patients.

c. Please provide a list of the SNF and LTAC facilities used by the Jail.

Answer 53. This information is not available at this time

Question 54. For each of the past 3 years, please provide total spend amounts for the following categories.

a. Offsite services

b. Pharmaceutical expenditures

c. Laboratory services

d. Offsite diagnostic (x-ray) services

Answer 54. a. Not currently part of the medical contract.

b. Please see Pharmacy Expenditures Attachment

c. Not currently part of the medical contract.

d. Not currently part of the medical contract.

Question 55. Under the new contract, who will be financially responsible for these items: the Parish or the vendor?

a. Inpatient hospitalization

b. Outpatient surgeries

c. Other outpatient referrals

d. ER visits

e. Ambulance transports

f. Offsite dialysis

g. Offsite diagnostics (lab/x-ray)

h. Pharmaceuticals

Answer 55. This information is not available at this time

Question 56. Will the vendor be financially responsible for any of the following services under the new contract? For any category that will be at the vendor’s cost, please provide three years’ of cost data on the expenses incurred in that category.

a. Care for newborn babies after the actual delivery

b. Abortions that are not clinically necessary

c. Cosmetic surgery that is not clinically necessary

d. Gender reassignment (sex change) surgery and any follow-up treatment or related cosmetic procedures

e. Contraception, including vasectomy, tubal ligation, or reversal of such

f. Experimental care

g. Elective care, i.e., care which if not provided would not (in the opinion of the Medical

Director) cause the patient’s health to deteriorate or cause the patient definite and/or irreparable physical harm

h. Autopsies

i. Organ, tissue, or other transplant surgery and related costs, including, but not limited to labs, testing, pharmaceuticals, pre- or post-op follow-up care, or ongoing care relating to the transplant

j. Factor and other medications for the treatment of bleeding disorders

Answer 56. This information is not available at this time

Question 57. We see that the RFP includes a $100,000 annual aggregate cap on “SPECIALTY CARE.”

Please confirm that costs in the following offsite care categories will also be included under this “Specialty Care” cap.

a. Inpatient hospitalization

b. Outpatient surgeries

c. Other outpatient referrals

d. ER visits

e. Ambulance transportation

f. Offsite dialysis

g. Offsite diagnostics (lab/x-ray)

Answer 57. This information is not available at this time

Question 58. With regard to the two (2) caps described in the RFP:

a. Please identify the amount of the HIV Medication cap in the current contract.

b. For each of the past three years, by how much (if at all) have total expenses for HIV

Medications exceeded the contracted cap amount?

c. Please identify the amount of the “Specialty Care” cap in the current contract.

d. Please indicate what services are included under the “Specialty Care” cap in the current contract.

e. For each of the past three years, by how much (if at all) have total “Specialty Care” expenses exceeded the contracted cap amount?

Answer 58.

a. Current contract doesn't have an HIV cap

b. Current contract doesn't have an HIV cap

c. See below snip from current contract.

d. This information is not available at this time

e. See Pharmacy Expenditure Attachment.

Question 59. RFP § II.2.b on Page 8 requires bidders to provide “A list of the personnel who will be in direct contact with staff and inmates along with their resume, qualifications, and the percentage of their job that will be devoted to this contract.” This gives the incumbent

Vendor a distinct and unfair advantage. Other bidders will not hire specific individuals for the Parish project prior to being awarded the business. In fact, the successful vendor will most likely retain as many incumbent Jail health care staff possible. Therefore, in the interest of maintaining a fair and equitable solicitation process and providing a level playing field for all bidders, will the Parish accept job descriptions in lieu of actual names and resumes?

Answer 59. Providers must submit it according to Page 8 in order to have staffing ready to begin the start of the contract period of July 1, 2026.

Question 60. With regard to the Hold Harmless Agreement on Page 61 of 68 of the PDF, please indicate which of the following statements is correct: (a) The form must be submitted by ALL vendors as part of their proposals OR (b) ONLY the awarded vendor will need to submit this form, after award.

Answer 60. This form will be removed. The Hold Harmless is part of the Sample Contract and RFP package and no form is required to be provided.

Question 61. Page 13 of the RFP states that the Contract will have “FOUR (4) additional one (1) year renewals.” However, the Draft Contract provided as RFP Attachment B states that the

Contract will have “TWO (2) additional one (1) year options.” Please indicate which of these statements is correct.

Answer 61. The Four (4) Additional one (1) Year Renewals are correct.

Question 62. On page 10, “DAILY INMATE CENSUS,” we understand that vendors are Excluded from the responsibility of those inmates in custody at hospitals. Does the vendor have any role in arranging payment for the party financially responsible for inmates in custody at hospitals?

Answer 62. No.

ATTACHMENTS:

1. Attachment-Labor Variance FY24&25

2. Attachment-Pharmacy Expenditures

3. Attachment- Exhibit A-Staffing

4. Attachment – Historical Inmate Population Charts

End of Addendum # 1

COMMENT JOURNAL AMOUNT

JULY 2023 / LABOR VARIANCE -16,783.35

AUGUST 2023 / LABOR VARIANCE 6,690.67

SEPTEMBER 2023 / LABOR VARIANC -11,531.10

OCTOBER 2023 / LABOR VARIANCE -9,162.23

NOVEMBER 2023 / LABOR VARIANCE 19,508.79

DECEMBER 2023 / LABOR VARIANCE 7,492.30

JANUARY 2024 / LABOR VARIANCE 7,972.01

FEBRUARY 2024 / LABOR VARIANCE 4,837.52

MARCH 2024 / LABOR VARIANCE -29,849.72

APRIL 2024 / LABOR VARIANCE -26,457.62

MAY 2024 / LABOR VARIANCE -21,149.97

JUNE 2024 / LABOR VARIANCE -16,234.03

-84,666.73

JULY 2024 / LABOR VARIANCE -24,593.53

AUGUST 2024 / LABOR VARIANCE -34,190.91

SEPTEMBER 2024 / LABOR VARIANC -16,577.11

OCTOBER 2024 / LABOR VARIANCE -20,750.86

NOVEMBER 2024 / LABOR VARIANCE -20,171.18

DECEMBER 2024 / LABOR VARIANCE -13,662.02

JANUARY 2025 / LABOR VARIANCE -20,431.01

FEBRUARY 2025 / LABOR VARIANCE -7,671.00

MARCH 2025 / LABOR VARIANCE 4,877.37

APRIL 2025 / LABOR VARIANCE 6,384.80

MAY 2025 / LABOR VARIANCE -4,183.44

JUNE 2025 / LABOR VARIANCE -23,763.68

-174,732.57

COMMENT JOURNAL AMOUNT

JUL 2023 MEDICAL PROVIDER COST 35,500.00

AUG 2023 MEDICAL PROVIDER COST 35,500.00

SEPT 2023 MEDICAL PROVIDER/PHA 35,500.00

OCTOBER 2023 / MEDICAL PROVIDE 35,500.00

JULY 2023 / SPECIALTY CARE/ PH -9,268.40

NOVEMBER 2023 / MEDICAL PROVID 35,500.00

AUGUST 2023 / PHARMACY /SPECIA 2,526.43

DECEMBER 2023 / MEDICAL PROVID 35,500.00

SEPTEMBER 2023 / PHARMACY / SP 7,077.57

JANUARY 2024 / MEDICAL PROVIDE 35,500.00

OCTOBER 2023 / PHARMACY COST 2,019.83

NOVEMBER 2023 / PHARMACY COSTS -11,482.36

FEBRUARY 2024 / MEDICAL PROVID 35,500.00

MARCH 2024 / MEDICAL PROVIDER 35,500.00

DECEMBER 2023 / PHARMACY / SPE -3,703.35

APRIL 2024 / MEDICAL PROVIDER 35,500.00

JANUARY 2024 / SPECIALTY CARE -14,028.93

MAY 2024 / MEDICAL PROVIDER CO 35,500.00

FEBRUARY 2024 / SPECIALTY CARE -16,898.45

JUNE 2024 / MEDICAL PROVIDER C 35,500.00

MARCH 2024 / SPECIALTY CARE / -10,736.85

371,505.49

JULY 2024 / MEDICAL PROVIDER C 35,500.00

AUGUST 2024 / MEDICAL PROVIDER 35,500.00

APRIL 2024 / SPECIALTY CARE / -13,035.87

MAY 2024 / SPECIALTY CARE / PH -3,998.20

SEPTEMBER 2024 / MEDICAL PROVI 35,500.00

JUNE 2024 / SPECIALTY CARE / P -21,443.95

OCTOBER 2024 / MEDICAL PROVIDE 35,500.00

NOVEMBER 2024 / MEDICAL PROVID 35,500.00

AUGUST 2024 / SPECIALTY CARE / -8,654.03

DEC 2024 MEDICAL PROVIDER COST 35,500.00

JAN 2024 MEDICAL PROVIDER COST 35,500.00

SEPT 2024 SPECIALTY CARE/PHARM -7,751.66

OCT 2024 SPECIALTY CARE/PHARMA -1,538.16

FEBRUARY 2025 / MEDICAL PROVID 35,500.00

NOVEMBER 2024 / SPECIALTY CARE -4,254.45

DECEMBER 2024 / SPECIALTY CARE -5,632.61

MARCH 2025 / MEDICAL PROVIDER 35,500.00

APRIL 2025 / MEDICAL PROVIDER 35,500.00

JULY 2024 / SPECIALTY CARE / P -10,909.79

JANUARY 2025 / SPECIALTY CARE 2,290.35

MAY 2025 / MEDICAL PROVIDER CO 35,500.00

FEBRUARY 2025 / PHARMACY / SPE 17,280.09

JUNE 2025 / MEDICAL PROVIDER C 35,500.00

MARCH 2025 / SPECIALTY CARE / 12,588.98

APRIL 2025 / SPECIALTY CARE / 6,559.99

MAY 2025 / SPECIALTY CARE/ PHA 21,681.78

JUNE 2025 / SPECIALTY CARE / P 2,091.49

411,273.96

JULY 2025 / MEDICAL PROVIDER C 35,500.00

AUGUST 2025 / MEDICAL PROVIDER 35,500.00

SEPTEMBER 2025 / ANNUAL MEDICA 35,500.00

OCTOBER 2025 / MEDICAL PROVIDE 35,500.00

JULY 2025 / SPECIALTY CARE / P -9,280.79

NOVEMBER 2025 / MEDICAL PROVID 35,500.00

AUGUST 2025 / SPECIALTY CARE / 5,757.96

DECEMBER 2025 / MEDICAL PROVID 35,500.00

JANUARY 2026 / MEDICAL PROVIDE 35,500.00

FEBRUARY 2026 / MEDICAL PROVID 35,500.00

OCTOBER 2025 / SPECIALTY CARE -1,437.79

MARCH 2026 / MEDICAL PROVIDER 35,500.00

NOVEMBER / DECEMBERT 2025 /SPE -4,972.17

APRIL 2026 / MEDICAL PROVIDER 35,500.00

SEPTEMBER 2025 / SPECIALTY CAR -10,464.30

MAY 2026 / MEDICAL PROVIDER CO 35,500.00

FEBRUARY 2026 / SPECIALTY CARE -11,678.64

JUNE 2026 MEDICAL PROVIDER 35,500.00

393,924.27

Historical Parish Inmate Population Charts

January 568 February 571 March 551 April 524 May 547 June 519 July 513 August 531 September 536 October 516 November 515 December 508

January 518 February 507 March 473 April 503 May 522 June 544 July 550 August 550 September 572 October 568 November 540 December 553

January 567 February 596 March 591 April 594 May 602 June 604

July 608 August 601 September 612 October 597 November 576 December 588

January 618 February 628 March 615 April 593