Caring that makes the difference
Official Benefit Funds Statement
Generated: November 3, 2026 · 4:33 PM
Individual Record · H1-1093
Sam Patel
Medical Record Number: MRN-64728 · Assigned Caseworker: Jordan Davis
SP
Sam Patel
Enrolled: May 12, 2025 · Status: Active
MRN: MRN-64728
Last 4 SSN: •••• 2045
MCI: ENC-MCI-64728
PA ABLE: Not established
Benefit received · Oct
$1,000.00
Government entitlement
Additional income
$430.00
Gifts, work, refunds
Expenses recorded
$138.00
October spending
Agency advance balance
$120.00
Outstanding agency debt
Financial Stream Overview
Current balances and accounting ledger boundaries
Government benefits ledger (October)
$1,000.00
Additional income running balance
$430.00
Expenses recorded (October)
−$138.00
Outstanding agency debt
$120.00
Ledgers are strictly maintained in separate tables to avoid co-mingling benefit entitlement with other funds or agency debt.
Administrative Record
Health1st ID
H1-1093
Medical Record Number
MRN-64728
Assigned Caseworker
Jordan Davis
PA ABLE Account Status
Not established
Account Status
Active
Government Benefit History
Monthly entitlement records for Sam Patel
| Month | Amount Received | Received Date | Status |
|---|---|---|---|
| 2026-10 | $1,000.00 | Oct 1, 2026 | Confirmed |
Effective Category Allocations
Recommended percentages and planning allocations
Housing
50%
Food & groceries
20%
Personal needs
10%
Transportation
10%
Other approved needs
10%
Allocations are planning recommendations derived from actual benefit received.
Isolated Income Sources
Running balances per source
| Source Ledger | Type | Current Balance | Transactions |
|---|---|---|---|
| Personal Work Income | Earned Income | $430.00 | 1 recorded |
Income Transactions Stream
| Date | Source | Description | Amount | Status |
|---|---|---|---|---|
| Oct 15, 2026 | Personal Work Income | Workshop hourly stipend | $430.00 | Recorded |
Expense Ledger
Recorded expenses and receipt verification status
| Date | Category | Vendor / Description | Amount | Receipt Status | Exception Review |
|---|---|---|---|---|---|
| Oct 18, 2026 | Personal needs | Target Store #042 Seasonal winter apparel & personal essentials | $138.00 | Attached | Over Funds |
Gift Records & 3-Calendar-Day Rule
Gifts causing countable resources to exceed $2,000 must have excess addressed within 3 calendar days
| Date Received | Donor | Gift Amount | Excess Over $2,000 | Deadline | Transfer Status |
|---|---|---|---|---|---|
| No gifts recorded for this individual. | |||||
Agency Advances Owed to Health1st
Tracked separately as an amount owed until fully recouped
| Reference | Date | Reason | Original Amount | Repaid to Date | Remaining Debt | Status |
|---|---|---|---|---|---|---|
| ADV-2026-051 | Oct 18, 2026 | Urgent Need | $120.00 | $0.00 | $120.00 | Outstanding |
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