Page 182 - 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 # 5
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
Sykes, Helen (SYKE H) ($4,877.88) $0.00 $0.00 $0.00 $0.00 $0.00 ($4,394.36) ($483.52) $0.00 $0.00
Sykes, Martha (SYKE) $819.82 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $819.82
Wright, Mary (WRIGM) $3,794.57 $0.00 $1,057.00 $1,057.00 $1,057.00 $623.57 $0.00 $0.00 $0.00 $0.00
TOTAL $11,514.31 $0.00 $12,423.30 $685.30 $770.64 $2,258.67 ($4,406.36) ($569.63) ($467.66) $820.05
Payer: UnitedHealthCare MCO UMC
BERKLEY, TREVA (BERKT) $8,801.79 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,491.07 $4,310.80 ($0.08)
Boothe, Debra (BOOTD) $10,467.30 $0.00 $5,300.07 $5,129.10 $9.61 $9.30 $9.61 $9.61 $0.00 $0.00
Conaway, Harvey (CONAH) $850.45 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $850.45
Hudson, Edith (HUDS E) $8,043.79 $0.00 $4,093.07 $3,922.10 $0.00 $9.30 $9.71 $9.61 $0.00 $0.00
Palmer, Bertha (PALMB) $9,173.16 $0.00 $3,794.07 $3,623.10 ($74.78) $1,811.55 $9.61 $9.61 $0.00 $0.00
TOTAL $37,336.49 $0.00 $13,187.21 $12,674.30 ($65.17) $1,830.15 $28.93 $4,519.90 $4,310.80 $850.37

GRAND TOTAL $599,841.98 $0.00 $147,662.26 $144,678.21 $111,950.04 $53,184.93 ($2,663.55) $20,348.96 $25,308.49 $99,372.64