Page 197 - Financial Workbook December
P. 197
Page # 1 210 + 05/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.20 $7.20 $0.00 $0.00 $0.00 ($5,516.90) ($4,653.15) $0.00 $1.40 ($10,168.65) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
180 06/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($937.44) $0.00 $0.00 $0.00 ($937.44) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,092.53) ($1,092.53) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
150 07/17 $5,300.07 $9.61 $9.61 $9.61 $9.61 $9.61 ($1,098.49) $9.61 $9.61 $0.00 $4,268.85 $0.00 $0.00 $0.00 $0.00 $0.00 $6.30 $0.00 $6.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
120 08/17 $9.61 $9.61 $9.61 $9.61 $9.61 $9.61 $9.61 $0.00 $0.00 ($0.05) $0.00 ($0.30) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
($5,022.72) ($2,366.39) ($7,321.84) ($176.66) ($177.01) ($1,155.00) ($1,155.00)
90 09/17 $9.30 $9.30 $0.00 $9.30 $9.30 $9.30 $9.30 $9.30 $9.30 $0.00 $74.40 $0.00 ($132.72) $0.00 $0.00 ($3.00) $0.00 $0.00 ($135.72) $0.00 ($495.00) ($495.00) $0.00 $0.00 $0.00
A/R Aging by Service Date Towne Square Care of Puryear - SNF December 2017 60 30 10/17 11/17 $9.61 $5,129.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $316.60 $0.00 $0.00 $0.00 $1,445.07 $0.00 $0.00 $0.00 $0.00 $9.61 $6,890.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7,150.46 $12,434.89 $7,150.46 $12,434.89 $10,197.88 $
Current 12/17 $5,300.07 $4,954.07 $0.00 $4,469.07 $4,353.89 $0.00 $4,191.97 $0.00 $4,566.07 $0.00 $27,835.14 $561.96 $0.00 $4,609.99 $5,014.53 $4,147.78 $0.00 $0.00 $14,334.26 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Future Cash $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Status: Both Buckets: PCC Default Payers: All
Total + 12/17 $15,757.76 $4,982.59 ($5,013.11) $4,497.59 $4,382.41 $345.12 $2,174.95 ($902.41) $4,594.59 $7.20 $30,826.69 $561.96 ($132.77) $4,609.99 ($502.67) ($508.37) ($170.36) ($1,091.13) $2,766.65 ($1,155.00) ($495.00) ($1,650.00) $19,585.35 $19,585.35 $14,941.00
TOTAL TOTAL TOTAL Payer: Managed Care - Blue Cross Blue Shield BC TOTAL Payer: Managed Care - Humana HUM
Date: Jan 18, 2018 Time: 16:43:44 CT User: Zach Bell Resident Name (ID) Payer: Amerigroup AMG Barker, Lori (BARK L) Beazley, Rosalie (BEAZ R) Bell, Elsie (BELL E) Brunzel, Sandra (BRUN S) Erwin, Wanda (ERWI W) Fitzgerald, Thomas (FITZ T) Krolak, Donald (KROL D) Moon, Clara (MOON C) Sanders, Jessye (SAND J) Sykes, Martha (SYKE) Payer: Hospice Medicaid TN HMT Beane, Jo Nell (BEANJ) Bell, Elsie (BELL E) Cowsert, Frances (COWSF) RAINEY, BERNICE (RAINB) Sand
