Page 181 - Financial Workbook October

Date: Dec 4, 2017 Towne Square Care of Puryear - SNF
Time: 16:52:03 CT A/R Aging by Service Date
User: Zach Bell December 2017 Page # 4
Resident Name (ID) Total Future Cash Current 30 60 90 120 150 180 210
+ 12/17 12/17 11/17 10/17 09/17 08/17 07/17 06/17 + 05/17
Krolak, Donald (KROL D) $365.56 $0.00 $0.00 $0.00 $0.00 $0.00 $161.35 $161.35 $42.86 $0.00
Palmer, Bertha (PALMB) $111.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.56
TOTAL $1,472.13 $0.00 $0.00 $0.00 $269.04 $239.01 $224.10 $215.87 $94.51 $429.60
Payer: Medicare B Coins from Private MBP
MITCHELL, JAMES (MITCJ) $392.27 $0.00 $0.00 $0.00 $33.54 $217.39 $141.34 $0.00 $0.00 $0.00
TOTAL $392.27 $0.00 $0.00 $0.00 $33.54 $217.39 $141.34 $0.00 $0.00 $0.00
Payer: Private Pay PP
Barrera, Beatrice (BARR B) $6,045.00 $0.00 $6,045.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Beane, Jo Nell (BEANJ) $495.00 $0.00 $0.00 $0.00 $0.00 $495.00 $0.00 $0.00 $0.00 $0.00
Bell, Elsie (BELL E) $0.14 $0.00 $0.00 $0.00 $0.00 $0.09 $0.05 $0.00 $0.00 $0.00
Kemp, MARION (KEMPM) $14,715.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14,715.00
Noel, Peggy (NOEL) $0.00 $0.00 $6,045.00 ($1,095.00) ($4,950.00) $0.00 $0.00 $0.00 $0.00 $0.00
RAINEY, BERNICE (RAINB) $310.00 $0.00 $310.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
SCOTT, CHARLES (SCOTC) $15,792.13 $0.00 $658.00 $4,935.00 $6,302.45 $3,648.13 $248.55 $0.00 $0.00 $0.00
WILLIAMS, ARLON (WILLIA) $11,021.50 $0.00 $5,099.50 $4,935.00 $987.00 $0.00 $0.00 $0.00 $0.00 $0.00
Willis, Dorothy (WILLD) $2,303.00 $0.00 $2,303.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Wright, Mary (WRIGM) $19,506.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19,506.23
TOTAL $70,188.00 $0.00 $20,460.50 $8,775.00 $2,339.45 $4,143.22 $248.60 $0.00 $0.00 $34,221.23
Payer: Resident Liability PL
Beane, Jo Nell (BEANJ) $2,786.40 $0.00 $945.00 $753.30 $837.00 $251.10 $0.00 $0.00 $0.00 $0.00
Beazley, Rosalie (BEAZ R) $346.00 $0.00 $346.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Bell, Virginia (BELLV) $429.58 $0.00 $429.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
BERKLEY, TREVA (BERKT) $0.08 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.08
Brunzel, Sandra (BRUN S) $556.00 $0.00 ($25.00) ($50.00) $0.00 $631.00 $0.00 $0.00 $0.00 $0.00
Conaway, Harvey (CONAH) ($549.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($81.40) ($467.64) $0.04
Erwin, Wanda (ERWI W) $946.18 $0.00 $946.18 $0.00 $0.00 $6.00 ($6.00) $0.00 $0.00 $0.00
Estes, Brenda (ESTEB) ($0.01) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($0.01)
Fitzgerald, Thomas (FITZ T) ($316.60) $0.00 $0.00 ($316.60) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Flanary, Dolores (FLAND) $1,218.27 $0.00 $1,246.90 ($6.00) ($6.00) ($6.00) ($6.00) ($4.71) $0.00 $0.08
Hudson, Edith (HUDS E) $1,207.00 $0.00 $1,207.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Jeter, Daisy (JETED) $788.14 $0.00 $788.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.14
Krolak, Donald (KROL D) $1,108.10 $0.00 $1,108.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Manning, Rita (MANN) $832.00 $0.00 $832.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Moon, Clara (MOON C) ($752.40) $0.00 $0.00 ($752.40) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Palmer, Bertha (PALMB) $1,141.64 $0.00 $1,506.00 $0.00 ($1,117.36) $753.00 $0.00 $0.00 $0.00 $0.00
Prince, Cathy (PRINC) $1,017.00 $0.00 $1,017.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
RAINEY, BERNICE (RAINB) $285.54 $0.00 $285.54 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sanders, Jessye (SAND J) $734.00 $0.00 $734.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Smith, Billy (BSMITH) ($0.12) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($0.02) ($0.10)