Page 196 - Financial Workbook September

Facility Code: 1 User: Zach Bell 4 Page 2 of 210 +02/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,606.00 $0.00 $6,325.19 $10,931.19 $0.00 $0.00 $0.00 $167.07 $654.96 $1,020.00 $1,842.03 $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 $111.56 $0.00 $437.30

180 03/17 $0.00 $0.00 $0.00 $0.00 $1,645.00 $0.00 $0.00 $9,520.51 $0.00 $11,165.51 $0.00 $0.00 $1,151.50 $0.00 $1,206.74 $2,358.24 $0.00 $0.00 $54.65 $0.00 $214.25 $5,115.00 $5,383.90 $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 $0.00 $0.00 $0.00 $0.00 $4,935.00 $0.00 $0.00 $4,053.97 $0.00 $8,988.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,950.00 $4,950.00 $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

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 $0.00 $0.00 $0.00 $0.00 $2,467.50 $0.00 $0.00 $2,026.98 $0.00 $4,494.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,630.00 $3,630.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $95.53 $374.43 $469.96 $0.00 $0.00 $0.00

90
06/17 60 07/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,125.50 $0.00 $0.00 $0.00 $0.00 $2,830.61 $0.00 $0.00 $5,956.11 $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 $0.00 ($937.44) $42.86 $167.99 ($726.59) $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 $0.0

Towne Square Care of Puryear - SNF A/R Aging Report September 2017 30 Current 08/17 09/17 $0.00 $0.00 $0.00 $0.00 $493.50 $0.00 $0.00 $0.00 $51.13 $143.37 $637.36 $0.00 $0.00 $200.48 $562.11 $1,130.86 $251.61 ($1,196.05) ($1,196.05) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($495.00) $0.00 ($495.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,108.10) $0.00 $161.35 $161.35 $0.00 $632.49 $632.49 $0.00 ($3

Future Cash $4,970.56 $0.00 $4,970.56 $0.00 $4,169.80 $0.00 $4,169.80 $0.00 $0.00 $3,866.90 $0.00 $0.00 $0.00 $0.00 $4,572.38 $0.00 $3,912.80 $0.00 $3,912.80 $0.00 $0.00 $4,331.80 $0.00 $0.00 $4,331.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,011.70 $0.00 $0.00 $0.00 $4,011.70 $0.00 $4,287.80 $0.00 $4,287.80 $0.00 $0.00 $0.00 $1,069.60 $0.00 $3,931.80 $0.00 $0.00 $0.00 $3,931.80 $0.00 $0.00 $3,090.18

Total +09/17 $4,970.56 $4,970.56 $4,169.80 $4,169.80 $12,666.50 $3,866.90 $194.50 $19,069.43 $762.59 $36,559.92 $2,716.75 $2,716.75 $5,757.50 $4,331.80 $7,531.93 $17,621.23 ($495.00) ($495.00) $54.65 $167.07 $869.21 $14,715.00 $15,805.93 $1,966.16 $365.56 $1,432.97 $3,764.69 $5,103.35 $5,103.35 $358.73 $1,406.34 $1,765.07 $6,846.26 $95.53 $374.43 $7,316.22 $111.56 $3,090.18 $437.30

Payer MBC-TN Total AMG-TN Total MAM MBC-TN MBM MCA MCB Total UMC-TN Total MAM MBC-TN MCA Total HP Total MBI MBM MCB PP Total AMG-TN MBM MCB Total MBC-TN Total MBP MCB Total AMG-TN MBI MCB Total MBM MCA MCB

Facility #: F Date: Oct 25, 2017 Time: 18:50:35 CT Resident Name (ID) Estes, Brenda B (ESTEB) Fitzgerald, Thomas E (FITZ T) Flanary, Dolores Ilo (FLAND) Hudson, Edith (HUDS E) Jeter, Daisy E. (JETED) Jones, Elaine Ross (JONEE) D/C: 09/28/2017 Kemp, MARION SUE (KEMPM) D/C: 05/23/2017 Krolak, Donald P (KROL D) Manning, Rita (MANN) MITCHELL, JAMES CLIFTON (MITCJ) Moon, Clara Pauline (MOON C) Palmer, Bertha Irene (PALMB)