Page 198 - Financial Workbook September

Facility Code: 1 User: Zach Bell 4 Page 4 of 210 +02/17 $19.60 ($10,170.05) $0.00 $578.34 $3,761.48 $0.00 $17,646.11 $0.00 $9,212.00 $1,092.26 $0.00 $278.63 $0.00 $5,626.00 $146.57 $4,778.48 $32,969.42

180 03/17 $15.40 $1.40 $0.00 $0.00 $4,273.46 $0.00 $15,320.66 $0.00 $7,896.00 $415.09 $54.65 $0.00 $0.00 $5,495.23 $681.25 $5,290.46 $39,443.60

150 04/17 $3.35 $0.00 $0.00 $0.00 $4,102.80 $0.00 $9,282.01 $0.00 $6,086.50 $0.00 $0.00 $0.00 $0.00 $4,950.00 $4.00 $5,075.59 $29,504.25

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 $0.00 $0.00 $0.00 $4,273.46 $1,669.14 $15,621.29 $3,454.50 $2,467.50 $966.25 $95.53 $150.97 $0.00 $3,630.00 $4.10 $894.70 $33,238.29

90
06/17 60 07/17 $4,140.36 ($1,092.53) $0.00 $0.00 $0.00 $0.00 $0.00 $4,102.80 $4,950.00 $11,923.98 $4,935.00 $3,125.50 $493.50 $370.51 $846.17 $0.00 $0.00 $94.51 $215.87 $0.00 $0.00 $0.00 $0.00 ($222.36) $4,310.80 $36,638.57

Towne Square Care of Puryear - SNF A/R Aging Report September 2017 30 Current 08/17 09/17 $4,182.36 $3,181.58 $34,855.12 $12,839.72 $16,303.42 ($1,155.00) ($495.00) $0.00 $0.00 $4,273.46 $5,089.01 $21,559.86 $5,115.00 $5,115.00 $6,930.00 $5,980.05 $14,088.72 $20,000.20 $1,316.00 $0.00 $0.00 $2,796.50 $4,935.00 $2,406.99 $6,041.74 $0.00 $0.00 $224.10 $143.37 $141.34 $217.39 $248.55 $4,398.34 ($560.82) ($4,396.36) $2,407.00 $4,481.46 $3,285

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 ($1,013.00) $0.00 ($1,013.00)

Total +09/17 $46,408.62 $17,881.96 ($1,650.00) $578.34 $51,436.33 $23,779.14 $109,863.02 $9,705.50 $37,012.50 $12,139.01 $150.18 $1,107.45 $358.73 $24,348.12 ($2,949.62) $43,267.20 $373,436.48

Facility #: F Date: Oct 25, 2017 Time: 18:50:35 CT Payer AMERIGROUP (AMG-TN) HOSPICE MEDICAID TN (HMT-TN) HOSPICE PRIVATE (HP) MANAGED CARE THERAPIES (MCT) MEDICAID BLUECARE TN (MBC-TN) MEDICAID PENDING (MP) MEDICARE A (MCA) MEDICARE A COINS FROM INSURANCE (MAI) MEDICARE A COINS FROM MEDICAID (MAM) MEDICARE B (MCB) MEDICARE B COINS FROM INSURANCE (MBI) MEDICARE B COINS FROM MEDICAID (MBM) MEDICARE B COINS FROM PRIVATE (MBP) PRIVATE PAY (PP) RESIDENT LIABILITY (PL) UN