Page 190 - Financial Workbook August

Facility Code: 1 User: Zach Bell 4 Page 1 of 210 +01/17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($5,004.92) ($4,138.17) $0.00 $0.00 ($9,143.09) $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

180 02/17 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $19.60 $0.00 ($511.98) ($514.98) $0.00 $0.00 ($1,026.96) $0.00 $0.00 $0.00 $578.34 $578.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,783.70

150 03/17 $10.85 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4.55 $15.40 $0.00 $0.00 $0.00 $0.00 $1.40 $1.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,657.00 $0.00 $3,657.00 $4,189.09

120 04/17 $10.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($7.15) $3.35 $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 $4,950.00 $0.00 $4,950.00 $945.93

Resident: All Status: Both Aging Type: A/R Aging Age By: Service Date Buckets: PCC Default Balance Filter Options: All Payers: All

05/17 $10.85 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.85 $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 $5,115.00 $1,669.14 $6,784.14 $0.00
90

60 06/17 $5,077.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,077.80 $0.00 $0.00 $0.00 $0.00 ($1,092.53) ($1,092.53) $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 $9,900.00 $0.00
Towne Square Care of Puryear - SNF A/R Aging Report August 2017 30 Current 07/17 08/17 $5,290.46 $5,290.46 $0.00 $4,944.46 $0.00 $4,140.41 $0.00 $4,459.46 $0.00 $0.00 $0.00 $4,340.46 $0.00 $1,966.16 $0.00 $2,914.46 $0.00 $4,556.46 $0.00 $0.00 $5,290.46 $32,612.33 $0.00 $2,389.24 $5,004.92 $5,004.92 $4,138.17 $4,138.17 $0.00 ($176.66) $0.00 $0.00 $9,143.09 $11,355.67 $0.00 ($1,155.00) $0.00 $0.00 $0.00 ($1,155.00) $0.00 $0.00 $0.

Future Cash $0.00 $0.00 $0.00 $0.00 ($1,957.19) $0.00 $0.00 $0.00 $0.00 $0.00 ($1,957.19) $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

Total +08/17 $15,700.72 $4,944.46 $4,140.41 $4,459.46 ($1,957.19) $4,340.46 $1,966.16 $2,914.46 $4,556.46 $7.20 $41,072.60 $2,389.24 $4,492.94 $3,623.19 ($176.66) ($1,091.13) $9,237.58 ($1,155.00) ($4,950.00) ($6,105.00) $578.34 $578.34 $5,141.22 $4,037.56 $4,502.46 $4,458.46 $8,271.22 $26,410.92 $17,989.00 $16,849.14 $34,838.14 $8,918.72

Resident Name (ID) Barker, Lori A (BARK L) Beazley, Rosalie S (BEAZ R) Bell, Elsie L (BELL E) Brunzel, Sandra S (BRUN S) Erwin, Wanda Gray (ERWI W) Fitzgerald, Thomas E (FITZ T) Krolak, Donald P (KROL D) Moon, Clara Pauline (MOON C) Sanders, Jessye E (SAND J) Sykes, Martha Ozella (SYKE) D/C: 03/18/2017 Total Cowsert, Frances Jean (COWSF) RAINEY, BERNICE H (RAINB) Sanders, Henry C (SAND H) Sykes, Helen H (SYKE H) D/C: 07/21/2017 Sykes, Martha Ozella (S

Date: Sep 15, 2017 Time: 13:47:40 CT AMERIGROUP (AMG-TN) HOSPICE MEDICAID TN HOSPICE PRIVATE (HP) MANAGED CARE THERAPIES (MCT) MEDICAID BLUECARE TN MEDICAID PENDING (MP) MEDICARE A (MCA)

Facility #: F Payer (HMT-TN) (MBC-TN)