Page 5 - Financial Workbook March

Facility Code: 1 User: Zach Bell 1 Page 1 of 210 +08/17 ($9,283.30) ($11,431.89) $0.00 $0.00 $0.00 $578.34 ($19,793.12) $0.00 $93,544.01 $9,705.50 $32,077.50 $5,122.95 $150.18 $964.08 $141.34 $6,325.37 $0.00 ($7,814.34) $100,286.62

180 09/17 $74.40 ($135.72) $0.00 $0.00 $0.00 $0.00 $3,122.29 $0.00 $20,000.20 $0.00 $7,402.50 $1,789.30 $0.00 $239.01 $217.39 $0.00 $0.00 $988.95 $33,698.32

150 10/17 $9.61 $0.00 $0.00 $7,150.46 $11,809.77 $0.00 ($1,001.78) $0.00 $30,873.46 $987.00 $12,008.50 $1,186.04 $0.00 $269.04 $33.54 $0.00 $0.00 ($557.76) $62,767.88

Resident: All Status: Both Aging Type: A/R Aging Age By: Service Date Buckets: PCC Default Balance Filter Options: All Payers: All
120 11/17 $1,761.67 $0.00 $0.00 $12,434.89 $4,743.12 $0.00 $2,080.81 $3,316.48 $18,140.84 $4,935.00 $4,935.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($701.10) $51,646.71

90
12/17 60 01/18 ($5,918.01) ($6.18) $0.04 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,848.24 $5,095.00 $24,079.54 $1,974.00 $0.00 $6,415.50 $798.07 $0.00 $0.00 $203.65 $697.91 $0.00 $0.00 $660.24 $288.72 $4,960.03 $42,398.80

Towne Square Care of Puryear - SNF A/R Aging Report March 2018 30 Current 02/18 03/18 ($1,440.94) ($761.12) $32,169.21 $0.00 $9,162.31 $0.00 $1,980.00 $0.00 $0.00 $9,225.00 $4,063.74 $0.00 $0.00 $0.00 $7,939.00 ($3,049.62) $30,032.75 $1,440.00 $3,135.00 $5,115.00 $19,885.15 $26,196.67 $30,204.57 $1,172.50 $837.50 $13,400.00 $15,410.00 $11,557.50 $2,735.65 $3,110.05 $9,977.17 $0.00 $0.00 $717.48 $1,348.10 $0.00 $88.24 $1,560.38 $75.93 ($

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 $0.00 ($5,850.00) ($3,526.46) $0.00 ($9,376.46)

Total +03/18 $16,611.52 ($2,411.44) $1,980.00 $19,585.35 $29,841.63 $578.34 $23,178.57 $18,101.48 $262,924.44 $19,611.50 $103,206.50 $24,719.23 $150.18 $4,439.27 $480.51 $2,342.43 $2,755.43 $31,959.16 $560,054.10

Facility #: F Date: Apr 24, 2018 Time: 18:26:38 CT Payer AMERIGROUP (AMG-TN) HOSPICE MEDICAID TN (HMT-TN) HOSPICE PRIVATE (HP) MANAGED CARE - BLUE CROSS BLUE SHIELD (BC) MANAGED CARE - HUMANA (HUM) 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