Page 2 - Financial Workbook December
P. 2

Date:  Jan 19, 2018                  Towne Square Care of Puryear - SNF
       Time: 17:51:54 CT                           INCOME STATEMENT
       User:  Zach Bell                            12/1/2017 to 12/31/2017                                    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          15,200     160.00   13,640    1,560   115,570     162.55  145,840   (30,270)
            Med A - Contract. Adj.        19,940     209.90       0    19,940    34,466      48.48       0     34,466
            Med A - Pharmacy                  0        0.00       0        0     11,471      16.13       0     11,471
            Med A - PT                     2,373      24.97       0     2,373    26,100      36.71       0     26,100
            Med A - OT                    11,150     117.37       0    11,150   117,042     164.62       0    117,042
            Med A - ST                     5,170      54.42       0     5,170    55,130      77.54       0     55,130
            Med A - X-Ray                     0        0.00       0        0       100        0.14       0       100
            Med A - Laboratory                0        0.00       0        0        16        0.02       0        16
            Med A - Anc. Contract. Adj.   (18,692)  (196.76)      0   (18,692)  (93,448)   (131.43)      0    (93,448)
            Med A - 2% Reduction            (525)     (5.53)      0      (525)   (1,912)     (2.69)      0     (1,912)
            TOTAL MEDICARE PART A         34,615     364.37   13,640   20,975   264,536     372.06  145,840   118,696
            PRIVATE PAY
            Private - Room & Board        36,575     182.88    6,045   30,530   241,715     141.85   65,130   176,585
            Private - PT                     837       4.18       0       837     1,066       0.63       0      1,066
            Private - OT                     611       3.06       0       611     1,104       0.65       0      1,104
            Private - ST                      0        0.00       0        0       283        0.17       0       283
            TOTAL PRIVATE PAY             38,023     190.11    6,045   31,978   244,168     143.29   65,130   179,038
            MEDICAID
            Medicaid - Room & Board       86,660     162.59    5,580   81,080   996,265     170.04   60,120   936,145
            Medicaid - Contract. Adj.      4,467       8.38       0     4,467    93,137      15.90       0     93,137
            Medicaid - Pharmacy               0        0.00       0        0       489        0.08       0       489
            Medicaid - Anc. Contract Adj.     0        0.00       0        0      (433)      (0.07)      0      (433)
            TOTAL MEDICAID                91,127     170.97    5,580   85,547  1,089,458    185.95   60,120  1,029,338
            MANAGED CARE
            Managed - Room & Board            0          -    12,710  (12,710)   14,680     164.94  136,940  (122,260)
            Managed - Contract. Adj.          0          -        0        0     21,458     241.10       0     21,458
            Managed - Pharmacy                0          -        0        0      1,273      14.30       0      1,273
            Managed - PT                      0          -        0        0      8,967     100.75       0      8,967
            Managed - OT                      0          -        0        0     23,626     265.47       0     23,626
            Managed - ST                      0          -        0        0     10,675     119.95       0     10,675
            Managed - Anc. Contract. Adj.     0          -        0        0    (43,444)   (488.14)      0    (43,444)
            TOTAL MANAGED CARE                0          -    12,710  (12,710)   37,235     418.37  136,940   (99,705)
            HOSPICE
            Hospice - Room & Board        16,025     172.31       0    16,025   181,164     176.75       0    181,164
            Hospice - Contract. Adj.        (125)     (1.34)      0      (125)    7,905       7.71       0      7,905
            TOTAL HOSPICE                 15,900     170.97       0    15,900   189,070     184.46       0    189,070
            VETERANS ADMINISTRATION
            TOTAL VETERANS ADMINISTRATION     0          -        0        0         0          -        0         0
            ASSISTED LIVING
            Asst. Living - Room & Board   12,000      48.39       0    12,000   115,178      52.31       0    115,178
            TOTAL ASSISTED LIVING         12,000      48.39       0    12,000   115,178      52.31       0    115,178
            MEDICARE PART B
            Med B - Contract. Adj.           434       4.57       0       434   (25,348)    (35.65)      0    (25,348)
            Med B - PT                     1,653      17.40       0     1,653    15,395      21.65       0     15,395
            Med B - OT                     3,055      32.16       0     3,055    31,628      44.48       0     31,628
            Med B - ST                     5,324      56.04       0     5,324    33,581      47.23       0     33,581
            Med B - Anc. Contract. Adj.   (5,792)    (60.97)      0    (5,792)  (12,271)    (17.26)      0    (12,271)
            Med B - 2% Reduction            (75)      (0.79)      0       (75)    (451)      (0.63)      0      (451)
            TOTAL MEDICARE PART B          4,599      48.41       0     4,599    42,535      59.82       0     42,535
            OTHER INCOME
            Acuity Revenue Accrual         8,557       7.32       0     8,557    25,670       2.21       0     25,670
            Other Income - Interest           0        0.00       0        0       150        0.01       0       150
            Other Income - Miscellaneous     310       0.27       0       310     3,947       0.34       0      3,947
            TOTAL OTHER INCOME             8,867       7.58       0     8,867    29,767       2.57       0     29,767
       TOTAL REVENUE                      205,131    175.48   37,975   167,156  2,011,946   173.59  408,030  1,603,916
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