PTO- 1478
`
`Approved for use through 04/30/2021. OMB 0651-0009
`
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
`
`Trademark/Service Mark Application, Principal Register
`
`TEAS Plus Application
`
`Serial Number: 90671146
`Filing Date: 04/26/2021
`
`NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory
`under the facts of the particular application.
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`TEAS Plus
`
`MARK INFORMATION
`
`*MARK
`
`*STANDARD CHARACTERS
`
`USPTO-GENERATED IMAGE
`
`LITERAL ELEMENT
`
`*MARK STATEMENT
`
`REGISTER
`
`APPLICANT INFORMATION
`
`*OWNER OF MARK
`
`DBA/AKA/TA/FORMERLY
`
`*MAILING ADDRESS
`
`*CITY
`
`*STATE
`(Required for U.S. applicants)
`
`YES
`
`HFS
`
`YES
`
`YES
`
`HFS
`
`The mark consists of standard characters, without claim to any
`particular font style, size, or color.
`
`Principal
`
`International Micro Design, Inc.
`
`DBA Health Financial Systems
`
`8109 Laguna Boulevard
`
`Elk Grove
`
`California
`
`*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
`
`United States
`
`*ZIP/POSTAL CODE
`(Required for U.S. and certain international addresses)
`
`PHONE
`
`*EMAIL ADDRESS
`
`WEBSITE ADDRESS
`
`LEGAL ENTITY INFORMATION
`
`*TYPE
`
`95758
`
`888-216-6041
`
`XXXX
`
`www.hfssoft.com
`
`CORPORATION
`
`* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF
`INCORPORATION
`
`California
`
`GOODS AND/OR SERVICES AND BASIS INFORMATION
`
`

`

`* INTERNATIONAL CLASS
`
`009 
`
`*IDENTIFICATION
`
`*FILING BASIS
`
`       FIRST USE ANYWHERE DATE
`
`       FIRST USE IN COMMERCE DATE
`
`       SPECIMEN
`       FILE NAME(S)
`
`       SPECIMEN DESCRIPTION
`
`        WEBPAGE URL
`
`        WEBPAGE DATE OF ACCESS
`
`* INTERNATIONAL CLASS
`
`*IDENTIFICATION
`
`*FILING BASIS
`
`       FIRST USE ANYWHERE DATE
`
`       FIRST USE IN COMMERCE DATE
`
`       SPECIMEN
`       FILE NAME(S)
`
`       SPECIMEN DESCRIPTION
`
`        WEBPAGE URL
`
`        WEBPAGE DATE OF ACCESS
`
`Downloadable computer software for preparing healthcare
`related cost reports and compliance reports, and for
`financial services.
`
`SECTION 1(a)
`
`At least as early as 01/01/1984
`
`At least as early as 01/01/1984
`
`\\TICRS\EXPORT18\IMAGEOUT
`18\906\711\90671146\xml1 \ FTK0003.JPG
`
`website screenshot displaying the mark as used in connection
`with the download of the goods
`
`https://www.hfssoft.com/product/2
`
`04/26/2021
`
`036 
`
`Providing an on-line searchable database featuring financial
`information about healthcare related cost reports and
`compliance reports and the companies that filed the
`reports.
`
`SECTION 1(a)
`
`At least as early as 01/01/1984
`
`At least as early as 01/01/1984
`
`\\TICRS\EXPORT18\IMAGEOUT
`18\906\711\90671146\xml1 \ FTK0004.JPG
`
`website screenshot displaying the mark as used in connection
`with the purchase of the service.
`
`https://hcris.hfssoft.com/
`
`04/26/2021
`
`ADDITIONAL STATEMENTS INFORMATION
`
`*TRANSLATION
`(if applicable)
`
`*TRANSLITERATION
`(if applicable)
`
`*CLAIMED PRIOR REGISTRATION
`(if applicable)
`
`*CONSENT (NAME/LIKENESS)
`(if applicable)
`
`*CONCURRENT USE CLAIM
`(if applicable)
`
`ATTORNEY INFORMATION
`
`NAME
`
`ATTORNEY DOCKET NUMBER
`
`ATTORNEY BAR MEMBERSHIP NUMBER
`
`YEAR OF ADMISSION
`
`U.S. STATE/ COMMONWEALTH/ TERRITORY
`
`Charles H. Briggs III
`
`81092021.1
`
`XXX
`
`XXXX
`
`XX
`
` 
` 
` 
` 
` 
`

`

`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
`
`ZIP/POSTAL CODE
`
`PHONE
`
`EMAIL ADDRESS
`
`IMD
`
`Legal Department
`
`8109 Laguna Boulevard
`
`Elk Grove
`
`California
`
`United States
`
`95758
`
`916-226-6594
`
`chuckbriggs@hfssoft.com
`
`CORRESPONDENCE INFORMATION
`
`NAME
`
`Charles H. Briggs III
`
`PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
`
`chuckbriggs@hfssoft.com
`
`SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
`
`legal@hfssoft.biz
`
`FEE INFORMATION
`
`APPLICATION FILING OPTION
`
`NUMBER OF CLASSES
`
`APPLICATION FOR REGISTRATION PER CLASS
`
`*TOTAL FEES DUE
`
`*TOTAL FEES PAID
`
`SIGNATURE INFORMATION
`
`* SIGNATURE
`
`* SIGNATORY'S NAME
`
`* SIGNATORY'S POSITION
`
`SIGNATORY'S PHONE NUMBER
`
`* DATE SIGNED
`
`SIGNATURE METHOD
`
`TEAS Plus
`
`2
`
`250
`
`500
`
`500
`
`/Charles H. Briggs III/
`
`Charles H. Briggs III
`
`Attorney of Record
`
`916-226-6594
`
`04/26/2021
`
`Signed directly within the form
`
`

`

`PTO- 1478
`
`Approved for use through 04/30/2021. OMB 0651-0009
`
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
`
`Trademark/Service Mark Application, Principal Register
`
`TEAS Plus Application
`
`Serial Number: 90671146
`Filing Date: 04/26/2021
`
`To the Commissioner for Trademarks:
`
`MARK: HFS (Standard Characters, see mark)
`The literal element of the mark consists of HFS. The mark consists of standard characters, without claim to any particular font style, size, or
`color.
`The applicant, International Micro Design, Inc., DBA Health Financial Systems, a corporation of California, having an address of
`      8109 Laguna Boulevard
`      Elk Grove, California 95758
`      United States
`      888-216-6041(phone)
`      XXXX
`
`requests registration of the trademark/service mark identified above in the United States Patent and Trademark Office on the Principal Register
`established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following:
`
`For specific filing basis information for each item, you must view the display within the Input Table.
`International Class 009:  Downloadable computer software for preparing healthcare related cost reports and compliance reports, and for financial
`services.
`
`Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or
`will later submit, one specimen as a JPG/PDF image file showing the mark as used in commerce on or in connection with any item in the class of
`listed goods/services, regardless of whether the mark itself is in the standard character format or is a stylized or design mark. The specimen image
`file may be in color, and the image must be in color if color is being claimed as a feature of the mark.
`
`In International Class 009, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least
`as early as 01/01/1984, and first used in commerce at least as early as 01/01/1984, and is now in use in such commerce. The applicant is
`submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in the class of listed
`goods/services, consisting of a(n) website screenshot displaying the mark as used in connection with the download of the goods.
`Specimen File1
`
`Webpage URL: https://www.hfssoft.com/product/2
`Webpage Date of Access: 04/26/2021
`
`For specific filing basis information for each item, you must view the display within the Input Table.
`International Class 036:  Providing an on-line searchable database featuring financial information about healthcare related cost reports and
`compliance reports and the companies that filed the reports.
`
`Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or
`will later submit, one specimen as a JPG/PDF image file showing the mark as used in commerce on or in connection with any item in the class of
`listed goods/services, regardless of whether the mark itself is in the standard character format or is a stylized or design mark. The specimen image
`file may be in color, and the image must be in color if color is being claimed as a feature of the mark.
`
`In International Class 036, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least
`as early as 01/01/1984, and first used in commerce at least as early as 01/01/1984, and is now in use in such commerce. The applicant is
`submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in the class of listed
`goods/services, consisting of a(n) website screenshot displaying the mark as used in connection with the purchase of the service..
`Specimen File1
`
`Webpage URL: https://hcris.hfssoft.com/
`
` 
`

`

`Webpage Date of Access: 04/26/2021
`
`For informational purposes only, applicant's website address is: www.hfssoft.com
`The owner's/holder's proposed attorney information: Charles H. Briggs III. Charles H. Briggs III of IMD, is a member of the XX bar, admitted to
`the bar in XXXX, bar membership no. XXX, is located at
`      Legal Department
`      8109 Laguna Boulevard
`      Elk Grove, California 95758
`      United States
`      916-226-6594(phone)
`      chuckbriggs@hfssoft.com
`The docket/reference number is 81092021.1.
`Charles H. Briggs III submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest
`court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.
`The applicant's current Correspondence Information:
`      Charles H. Briggs III
`       PRIMARY EMAIL FOR CORRESPONDENCE: chuckbriggs@hfssoft.com
`       SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): legal@hfssoft.biz
`
`Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the applicant owner/holder and
`the applicant owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark
`Electronic Application System (TEAS).
`A fee payment in the amount of $500 has been submitted with the application, representing payment for 2 class(es).
`
`Basis:
`If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a):
`
`Declaration
`
`The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered;
`The mark is in use in commerce and was in use in commerce as of the filing date of the application on or in connection with the
`goods/services in the application;
`The specimen(s) shows the mark as used on or in connection with the goods/services in the application and was used on or in
`connection with the goods/services in the application as of the application filing date; and
`To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
`
`And/Or
`If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d),
`and/or § 1126(e):
`
`The signatory believes that the applicant is entitled to use the mark in commerce;
`The applicant has a bona fide intention to use the mark in commerce and had a bona fide intention to use the mark in commerce as
`of the application filing date on or in connection with the goods/services in the application; and
`To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
`
`To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the
`mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the
`goods/services of such other persons, to cause confusion or mistake, or to deceive.
`
`To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the
`allegations and other factual contentions made above have evidentiary support.
`
`The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. §
`1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration
`resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and
`belief are believed to be true.
`Declaration Signature
`
`Signature: /Charles H. Briggs III/   Date: 04/26/2021
`Signatory's Name: Charles H. Briggs III
`
`

`

`Signatory's Position: Attorney of Record
`Signatory's Phone Number: 916-226-6594
`Signature method: Signed directly within the form
`Payment Sale Number: 90671146
`Payment Accounting Date: 04/26/2021
`
`Serial Number: 90671146
`Internet Transmission Date: Mon Apr 26 13:00:50 ET 2021
`TEAS Stamp: USPTO/FTK-2601:204:e201:4ae0:45c:1af8:8e
`1f:8c5f-20210426130050327405-90671146-78
`05f4d31b24ffcfc301892233b6dea22ab7743dc7
`ab4af2b1855a23784e8102b-CC-00484425-2021
`0426100227754294
`
` 
`

`

`HFS
`
`

`

`Féam'Fmvm; 51mm;
`
`HCDYS
`
`SEFE
`
`HFS 701 D'nwnel Hm manmy n- c"anrir (ma/>071, rmwow
`
`IFHealth nanclal Systems
`
`H—NK Fernmew
`LM: apprwad ca cu‘ate‘ edns and hue export
`Jserfiiend‘
`'
`evface
`One StEDi scenauon and “Checxbw Uwetes"
`Add; deletes mmesand combmes cmcemr:
`Transfcvs approprmtc mfovmat on from pnmyccrfik :0 bcgm r‘cxtycar’c Mcn
`3DF pvlntmg wtl‘ bcokmavks
`FY32“; ”<91 nnra: on rel 1.
`
`p)” Lwcenie
`
`v
`
`acmepms
`
`Fehame maven and Eff dent
`HFS Hospital Medicare Cost Report (2552-10, 2552-96)
`
`5‘
`
`Dcwnioads
`
`Suaportv
`
`Buflenne mm“
`
`suoow
`
`

`

`Health Financial Systems
`
`Company
`
`My Provider List
`advanced Sea rell
`
`Tools
`Wage Data by CBSA
`Provide r Ma p
`
` Annual Subscription for users
`
`at the same company:
`1—2 Users — $1,000
`3—5 Users — $1,50D
`6-10 Users - $2,000
`11-15 Users - $2,5oo
`16-20 Users - $3,000
`+20 — Users $4,ooo
`+30 — Users- $4,500
`+50 — Users ss,ooo
`+100 — Users $7,500
`
`Snapshot Reports
`
`The HFS HCRIS Website gives users access to the CMS public use Medicare Cost Report data. The
`Medicare Cost Report data contains thousands of data elements per report for several thousand
`Hospital providers with several report time periods and iterations of those reports. In other words,
`it is a lot of data, too much for most users to be able to handle with the tools typically available.
`This website focuses on bringing key elements of the data into clear view, allowing users to look at
`only who and what they are interested in and easily filtering down to and extracting the data they
`want for further analysis.
`
`This is a new product and we are very interested in what you think and your ideas for making it
`better. Whether you are a userr a potential client orjust interested in Medicare cost report data,
`please feel free to contact us with your thoughts or suggestions. You can use the Contact Us link,
`located under the More Info area (on the right and in blue] or e-mail us at support@HFSSOFl’.com
`to give us feedback.
`
`Snapshot reports have been created to look at key elements of the cost report:
`
`+
`
`PURC HAS E
`
`Support
`
`FAQ
`
`H CRIS Presentation
`Co nla c1- Us
`
`Hospital:
`PPS Hospital Dashboard
`IP PPS Dashboard
`CAH Dashboard
`Balance Sheet
`IPF PPS Dashboard
`Wage Index
`DSH Summary
`GMF Summary
`
`Reimbursement ys. Cost Analysis
`Bad Debt Report
`SCHIMDH Report
`Protested Amounts
`HlT Reimbursement Settlement Report
`Hospital Uncompensated (5—10)
`Rehab LIP Report
`Available. Facility Rennrts
`
`