Page 2 - Financial Workbook October
P. 2
Date: Dec 4, 2017 Towne Square Care of Puryear - SNF
Time: 16:52:33 CT INCOME STATEMENT
User: Zach Bell 10/1/2017 to 10/31/2017 Page # 1
Include Adjustment Periods: NO Include Closing Periods: NO
CURRENT PERIOD YEAR TO DATE
Actual $ Actual / Day Budget $ Var $ Actual $ Actual / Day Budget $ Var $
REVENUE
MEDICARE PART A
Med A - Room & Board 17,280 160.00 0 17,280 88,210 163.35 0 88,210
Med A - Contract. Adj. 27,219 252.03 0 27,219 (663) (1.23) 0 (663)
Med A - Pharmacy 0 0.00 0 0 8,154 15.10 0 8,154
Med A - PT 0 0.00 0 0 15,305 28.34 0 15,305
Med A - OT 0 0.00 0 0 77,736 143.96 0 77,736
Med A - ST 0 0.00 0 0 28,131 52.09 0 28,131
Med A - X-Ray 0 0.00 0 0 100 0.19 0 100
Med A - Laboratory 0 0.00 0 0 16 0.03 0 16
Med A - Anc. Contract. Adj. 0 0.00 0 0 (13,030) (24.13) 0 (13,030)
Med A - 2% Reduction (630) (5.83) 0 (630) (1,037) (1.92) 0 (1,037)
TOTAL MEDICARE PART A 43,869 406.19 0 43,869 202,922 375.78 0 202,922
PRIVATE PAY
Private - Room & Board 310 - 0 310 189,495 134.30 0 189,495
Private - ST 0 - 0 0 750 0.53 0 750
TOTAL PRIVATE PAY 310 - 0 310 190,245 134.83 0 190,245
MEDICAID
Medicaid - Room & Board 104,150 162.48 0 104,150 810,820 171.86 0 810,820
Medicaid - Contract. Adj. 5,243 8.18 0 5,243 82,828 17.56 0 82,828
Medicaid - Pharmacy 0 0.00 0 0 56 0.01 0 56
TOTAL MEDICAID 109,393 170.66 0 109,393 893,704 189.42 0 893,704
MANAGED CARE
Managed - Room & Board 8,000 163.27 0 8,000 8,000 163.27 0 8,000
Managed - Contract. Adj. 10,960 223.68 0 10,960 10,960 223.68 0 10,960
Managed - ST 0 0.00 0 0 1,097 22.38 0 1,097
TOTAL MANAGED CARE 18,960 386.94 0 18,960 20,057 409.33 0 20,057
HOSPICE
Hospice - Room & Board 15,655 168.33 0 15,655 147,995 175.77 0 147,995
Hospice - Contract. Adj. 216 2.33 0 216 9,667 11.48 0 9,667
TOTAL HOSPICE 15,871 170.66 0 15,871 157,662 187.25 0 157,662
VETERANS ADMINISTRATION
TOTAL VETERANS ADMINISTRATION 0 - 0 0 0 - 0 0
ASSISTED LIVING
Asst. Living - Room & Board 11,903 50.65 0 11,903 91,178 53.20 0 91,178
TOTAL ASSISTED LIVING 11,903 50.65 0 11,903 91,178 53.20 0 91,178
MEDICARE PART B
Med B - Contract. Adj. 82 0.76 0 82 (12,163) (22.52) 0 (12,163)
Med B - PT 0 0.00 0 0 7,645 14.16 0 7,645
Med B - OT 0 0.00 0 0 13,967 25.86 0 13,967
Med B - ST 0 0.00 0 0 13,359 24.74 0 13,359
Med B - 2% Reduction (1) (0.01) 0 (1) (128) (0.24) 0 (128)
TOTAL MEDICARE PART B 81 0.75 0 81 22,680 42.00 0 22,680
OTHER INCOME
Acuity Revenue Accrual 8,557 7.60 0 8,557 17,113 1.85 0 17,113
Other Income - Interest 0 0.00 0 0 150 0.02 0 150
Other Income - Miscellaneous 310 0.28 0 310 2,730 0.29 0 2,730
TOTAL OTHER INCOME 8,867 7.87 0 8,867 19,994 2.16 0 19,994
TOTAL REVENUE 209,254 185.84 0 209,254 1,598,440 172.36 0 1,598,440