Page 191 - Financial Workbook August

Facility Code: 1 User: Zach Bell 4 Page 2 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 $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

180 02/17 $0.00 $0.00 $0.00 $6,325.19 $0.00 $0.00 $7,537.22 $17,646.11 $0.00 $0.00 $4,606.00 $0.00 $4,606.00 $9,212.00 $0.00 $0.00 $654.96 $0.00 $0.00 $437.30 $0.00 $1,092.26 $0.00 $0.00 $0.00 $0.00 $0.00 $167.07 $0.00 $111.56 $278.63

150 03/17 $0.00 $0.00 $9,520.51 $1,206.74 $0.00 $0.00 $404.32 $15,320.66 $0.00 $0.00 $5,099.50 $1,645.00 $1,151.50 $7,896.00 $0.00 $0.00 $214.25 $0.00 $0.00 $0.00 $200.84 $415.09 $54.65 $0.00 $54.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

120 04/17 $0.00 $4,282.11 $4,053.97 $0.00 $0.00 $0.00 $0.00 $9,282.01 $0.00 $0.00 $1,151.50 $4,935.00 $0.00 $6,086.50 $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

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

05/17 $3,158.92 $10,435.39 $2,026.98 $0.00 $0.00 $0.00 $0.00 $15,621.29 $3,454.50 $3,454.50 $0.00 $2,467.50 $0.00 $2,467.50 $0.00 $591.82 $0.00 $0.00 $374.43 $0.00 $0.00 $966.25 $0.00 $95.53 $95.53 $0.00 $150.97 $0.00 $0.00 $0.00 $150.97
90

60 06/17 $749.97 $8,343.40 $2,830.61 $0.00 $0.00 $0.00 $0.00 $11,923.98 $4,935.00 $4,935.00 $0.00 $3,125.50 $0.00 $3,125.50 $0.00 $202.52 $0.00 $167.99 $0.00 $0.00 $0.00 $370.51 $0.00 $0.00 $0.00 $0.00 $51.65 $0.00 $42.86 $0.00 $94.51
Towne Square Care of Puryear - SNF A/R Aging Report August 2017 30 Current 07/17 08/17 $0.00 $0.00 $2,760.31 $0.00 $637.36 $0.00 $0.00 $0.00 $0.00 $3,543.74 $2,582.38 $10,601.72 $0.00 $0.00 $5,980.05 $14,145.46 $1,316.00 $0.00 $1,316.00 $0.00 $0.00 $0.00 $493.50 $0.00 $0.00 $0.00 $493.50 $0.00 $213.68 $0.00 $0.00 $0.00 $0.00 $0.00 $632.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $846.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0

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 $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

Total +08/17 $3,908.89 $25,821.21 $19,069.43 $7,531.93 $3,543.74 $13,184.10 $7,941.54 $89,919.56 $9,705.50 $9,705.50 $10,857.00 $12,666.50 $5,757.50 $29,281.00 $213.68 $794.34 $869.21 $800.48 $374.43 $437.30 $200.84 $3,690.28 $54.65 $95.53 $150.18 $54.52 $202.62 $167.07 $204.21 $111.56 $739.98

Resident Name (ID) Conaway, Harvey Joe (CONAH) D/C: 06/03/2017 Curd, Russell K (CURDR) D/C: 07/12/2017 Flanary, Dolores Ilo (FLAND) Jeter, Daisy E. (JETED) SCOTT, CHARLES Wesley (SCOTC) Smith, Martha Sue (SMITHM) Wright, Mary Lois (WRIGM) Total Curd, Russell K (CURDR) D/C: 07/12/2017 Total BERKLEY, TREVA J (BERKT) Flanary, Dolores Ilo (FLAND) Jeter, Daisy E. (JETED) Total Bell, Elsie L (BELL E) Conaway, Harvey Joe (CONAH) D/C: 06/03/2017 Kemp,

Date: Sep 15, 2017 Time: 13:47:40 CT 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)

Facility #: F Payer