Page 195 - Financial Workbook September

Facility Code: 1 User: Zach Bell 4 Page 1 of 210 +02/17 $9.80 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,606.00 $3,783.70 $0.00 $8,389.70 $0.00 $578.34 $578.34 $4,778.48 $4,778.48 $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

180 03/17 $10.85 $10.85 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,099.50 $4,189.09 $0.00 $9,288.59 $0.00 $0.00 $0.00 $5,290.46 $5,290.46 $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

150 04/17 $10.50 $10.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,151.50 $945.93 $0.00 $2,097.43 $0.00 $0.00 $0.00 $5,119.80 $5,119.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($44.21) ($44.21) $0.00 $0.00 $0.00 $4,282.11 $4,282.11 $0.00 $0.00 $0.00

Resident: All Status: Both Aging Type: A/R Aging Age By: Service Date Buckets: PCC Default Balance Filter Options: All Payers: All

120 05/17 $10.85 $10.85 $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 $150.97 $3,158.92 $591.82 $0.00 $894.70 $4,796.41 $0.00 $0.00 $3,454.50 $10,435.39 $13,889.89 $0.00 $0.00 $0.00

90
06/17 60 07/17 $5,077.80 $5,077.80 $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 $4,310.80 $4,310.80 $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 $51.65 $0.00 $749.97 $0.00 $202.52 $0.00 ($467.64) $0.00 $0.00 $536.50 $0.00 $0.00 $0.00 $0.00 $4,935.00 $8,343.40 $13,278.40 $

Towne Square Care of Puryear - SNF A/R Aging Report September 2017 30 Current 08/17 09/17 $5,290.46 $0.00 $5,290.46 $0.00 $0.00 $0.00 $750.21 $0.00 $0.00 $0.00 $267.12 $0.00 $3,873.29 $54.52 $11.62 $0.00 $213.68 $45.57 $0.00 $268.20 $4,197.60 $0.00 $0.00 $0.00 $0.00 $4,481.46 $4,481.46 $4,481.46 $4,481.46 ($1,155.00) $0.00 $0.00 $0.00 ($1,155.00) $0.00 $0.00 $0.00 $0.00 $0.00 $631.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.

Future Cash $5,119.80 $0.00 $5,119.80 $0.00 $1,980.00 $0.00 $0.00 $2,730.21 $0.00 $4,773.80 $0.00 $4,773.80 $0.00 $0.00 $2,381.85 $0.00 $0.00 $0.00 $2,381.85 $0.00 $0.00 $0.00 $4,310.80 $0.00 $4,310.80 $0.00 $0.00 $0.00 $0.00 $5,119.80 $0.00 $5,119.80 $0.00 $4,288.80 $0.00 $0.00 $4,919.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,119.80 $0.00 $5,119.80 $0.00 $0.00 $0.00 $0.00 $4,173.62 $0.00 $0.00 $4,179.6

Total +09/17 $15,530.06 $15,530.06 $1,980.00 $750.21 $2,730.21 $4,773.80 $4,773.80 $267.12 $6,255.14 $66.14 $259.25 $6,847.65 $10,857.00 $8,918.72 $17,584.52 $37,360.24 ($1,155.00) $578.34 ($576.66) $20,308.54 $20,308.54 $4,288.80 $631.00 $4,919.80 $202.62 $3,908.89 $794.34 ($549.04) $850.49 $5,207.30 $5,119.80 $5,119.80 $9,705.50 $25,821.21 $35,526.71 $4,173.62 $0.00 $4,173.62

Payer AMG-TN Total MP PP Total AMG-TN Total AMG-TN HMT-TN MBM MCB Total MAM MCA UMC-TN Total HP MCT Total UMC-TN Total AMG-TN PL Total MBM MCA MCB PL UMC-TN Total HMT-TN Total MAI MCA Total AMG-TN PL Total

Facility #: F Date: Oct 25, 2017 Time: 18:50:35 CT Resident Name (ID) Barker, Lori A (BARK L) Beane, Jo Nell (BEANJ) Beazley, Rosalie S (BEAZ R) Bell, Elsie L (BELL E) D/C: 09/19/2017 BERKLEY, TREVA J (BERKT) D/C: 10/01/2017 Bogard, Mary L (BOGA M) D/C: 07/25/2017 Boothe, Debra Lou (BOOTD) Brunzel, Sandra S (BRUN S) Conaway, Harvey Joe (CONAH) D/C: 06/03/2017 Cowsert, Frances Jean (COWSF) Curd, Russell K (CURDR) D/C: 07/12/2017 Erwin, Wanda Gray (ERWI W)