Page 5 - Financial Workbook July

Date: Aug 25, 2017 Towne Square Care of Puryear - SNF
Time: 15:15:00 CT INCOME STATEMENT
User: Zach Bell 7/1/2017 to 7/31/2017 Page # 1

Include Adjustment Periods: NO Include Closing Periods: NO

CURRENT PERIOD YEAR TO DATE
Actual $ Actual / Day Budget $ Var $ Actual $ Actual / Day Budget $ Var $
REVENUE
MEDICARE PART A
Med A - Room & Board 2,720 160.00 0 2,720 56,445 174.21 0 56,445
Med A - Contract. Adj. 8,568 504.00 0 8,568 69,402 214.20 0 69,402
Med A - Pharmacy 1,201 70.67 0 1,201 6,332 19.54 0 6,332
Med A - PT 2,332 137.18 0 2,332 10,695 33.01 0 10,695
Med A - OT 10,844 637.88 0 10,844 62,917 194.19 0 62,917
Med A - ST 9,553 561.92 0 9,553 21,712 67.01 0 21,712
Med A - X-Ray 0 0.00 0 0 100 0.31 0 100
Med A - Laboratory 16 0.91 0 16 16 0.05 0 16
Med A - Anc. Contract. Adj. (23,946) (1,408.56) 0 (23,946) (102,273) (315.66) 0 (102,273)
Med A - 2% Reduction (182) (10.70) 0 (182) (1,546) (4.77) 0 (1,546)
TOTAL MEDICARE PART A 11,106 653.31 0 11,106 123,801 382.10 0 123,801

PRIVATE PAY
Private - Room & Board 34,960 166.48 0 34,960 166,630 130.38 0 166,630
TOTAL PRIVATE PAY 34,960 166.48 0 34,960 166,630 130.38 0 166,630
MEDICAID
Medicaid - Room & Board 85,215 163.88 0 85,215 517,845 180.31 0 517,845
Medicaid - Contract. Adj. 4,333 8.33 0 4,333 13,717 4.78 0 13,717
Medicaid - Pharmacy 0 0.00 0 0 56 0.02 0 56
Medicaid - Anc. Contract Adj. 0 0.00 0 0 (56) (0.02) 0 (56)
TOTAL MEDICAID 89,548 172.21 0 89,548 531,562 185.08 0 531,562
MANAGED CARE
Managed - ST 0 - 0 0 1,097 - 0 1,097
Managed - Anc. Contract. Adj. 0 - 0 0 (518) - 0 (518)
TOTAL MANAGED CARE 0 - 0 0 578 - 0 578
HOSPICE
Hospice - Room & Board 13,830 168.66 0 13,830 90,240 168.36 0 90,240
Hospice - Contract. Adj. 260 3.17 0 260 1,170 2.18 0 1,170
TOTAL HOSPICE 14,090 171.83 0 14,090 91,410 170.54 0 91,410
VETERANS ADMINISTRATION
TOTAL VETERANS ADMINISTRATION 0 - 0 0 0 - 0 0
ASSISTED LIVING
Asst. Living - Room & Board 0 - 0 0 47,561 51.75 0 47,561
TOTAL ASSISTED LIVING 0 - 0 0 47,561 51.75 0 47,561
MEDICARE PART B
Med B - Contract. Adj. (1,985) (116.79) 0 (1,985) (6,239) (19.26) 0 (6,239)
Med B - PT 0 0.00 0 0 3,744 11.55 0 3,744
Med B - OT 1,154 67.86 0 1,154 3,587 11.07 0 3,587
Med B - ST 2,350 138.25 0 2,350 3,615 11.16 0 3,615
Med B - 2% Reduction (24) (1.43) 0 (24) (75) (0.23) 0 (75)
TOTAL MEDICARE PART B 1,494 87.89 0 1,494 4,632 14.30 0 4,632
OTHER INCOME
Acuity Revenue Accrual 59,897 72.25 0 59,897 59,897 10.10 0 59,897
Other Income - Discounts 0 0.00 0 0 150 0.03 0 150
TOTAL OTHER INCOME 59,897 72.25 0 59,897 60,047 10.13 0 60,047
TOTAL REVENUE 211,095 254.64 0 211,095 1,026,221 173.09 0 1,026,221