Page 197 - Financial Workbook September

Facility Code: 1 User: Zach Bell 4 Page 3 of 210 +02/17 $0.00 $0.00 $548.86 $3,761.48 $4.00 $3,765.48 ($5,516.90) ($5,516.90) ($4,653.15) ($4,653.15) $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 $9.80 $0.00 $142.57 $152.37 $7,537.22 $0.00 $0.00 $4,606.00 $12,143.22

180 03/17 $0.00 $0.00 $0.00 $4,273.46 $4.00 $4,277.46 $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 $0.00 $4.55 $1.40 $677.25 $683.20 $404.32 $200.84 $0.00 $380.23 $985.39

150 04/17 $0.00 $0.00 $0.00 $4,102.80 $4.00 $4,106.80 $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 ($7.15) $0.00 $0.00 ($7.15) $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 $4,273.46 $4.00 $4,277.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.10 $0.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,669.14 $0.00 $1,669.14

90
06/17 60 07/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,102.80 $4.00 $4.00 $4,106.80 $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 $241.28 $0.00 $241.28 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,092.53) $0.00 $0.00 $0.00 ($1,092.53) $0.00 $0.00 $0.00 $0.00 $0.00 $4,950.00 $0.00 $0.00 $4,950.00

Towne Square Care of Puryear - SNF A/R Aging Report September 2017 30 Current 08/17 09/17 $0.00 $753.00 $0.00 $0.00 $4,273.46 $4,273.46 $4.00 $4,277.46 $4,277.46 $5,004.92 $5,004.92 $4,138.17 $4,138.17 $0.00 $0.00 $3,543.74 $974.32 $248.55 $4,766.61 $0.00 $0.00 $0.00 $0.00 $2,796.50 $2,582.38 $10,544.98 $2,582.38 $13,341.48 ($176.66) $0.00 ($483.42) ($4,394.36) $0.00 ($483.42) ($4,571.02) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $

Future Cash $0.00 $1,806.90 $0.00 $5,650.08 $0.00 $4,102.80 $0.00 $1,017.00 ($1,013.00) $5,119.80 ($1,013.00) $4,834.26 $0.00 $4,834.26 $0.00 $3,967.51 $0.00 $3,967.51 $0.00 $4,385.80 $0.00 $4,385.80 $0.00 $10,527.13 $0.00 $4,627.42 $0.00 $3,648.13 $0.00 $18,802.68 $0.00 $0.00 $0.00 $4,935.00 $0.00 $6,382.89 $0.00 $11,317.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,950.00 $0.00 $0.00 $4,950.00

Total +09/17 $753.00 $1,806.90 $6,198.94 $33,163.72 $32.00 $33,195.72 $4,322.28 $4,322.28 $3,452.53 $3,452.53 $4,385.80 $4,385.80 $14,070.87 $5,601.74 $3,896.68 $23,569.29 $241.38 $241.38 $7,731.50 $19,510.25 $27,241.75 ($176.66) ($4,877.78) ($5,054.44) $7.20 ($1,091.13) $819.82 ($264.11) $7,941.54 $200.84 $21,799.14 $4,986.23 $34,927.75

Payer PL UMC-TN Total MBC-TN PL Total HMT-TN Total HMT-TN Total AMG-TN Total MCA MCB PP Total PL Total MAM MCA Total HMT-TN PL Total AMG-TN HMT-TN PL Total MCA MCB MP PP Total

Facility #: F Date: Oct 25, 2017 Time: 18:50:35 CT Resident Name (ID) Palmer, Bertha Irene (PALMB) Prince, Cathy Marie (PRINC) RAINEY, BERNICE H (RAINB) Sanders, Henry C (SAND H) Sanders, Jessye E (SAND J) SCOTT, CHARLES Wesley (SCOTC) Smith, Billy W (BSMITH) D/C: 06/15/2017 Smith, Martha Sue (SMITHM) Sykes, Helen H (SYKE H) D/C: 07/21/2017 Sykes, Martha Ozella (SYKE) D/C: 03/18/2017 Wright, Mary Lois (WRIGM)