Page 2 - January Financial Workbook

Date: Apr 24, 2018 Towne Square Care of Puryear - SNF Facility #
Time: 19:29:45 EDT INCOME STATEMENT
User: Zach Bell 1/1/2018 to 1/31/2018 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 16,480 160.00 0 16,480 16,480 160.00 0 16,480
Med A - Contract. Adj. 13,859 134.56 0 13,859 13,859 134.56 0 13,859
Med A - Pharmacy 6,490 63.01 0 6,490 6,490 63.01 0 6,490
Med A - PT 4,664 45.28 0 4,664 4,664 45.28 0 4,664
Med A - OT 29,149 283.00 0 29,149 29,149 283.00 0 29,149
Med A - ST 17,461 169.52 0 17,461 17,461 169.52 0 17,461
Med A - Anc. Contract. Adj. (57,764) (560.81) 0 (57,764) (57,764) (560.81) 0 (57,764)
Med A - 2% Reduction (349) (3.38) 0 (349) (349) (3.38) 0 (349)
TOTAL MEDICARE PART A 29,991 291.17 0 29,991 29,991 291.17 0 29,991
PRIVATE PAY
Private - Room & Board 11,760 199.32 0 11,760 11,760 199.32 0 11,760
Private - Pharmacy (45) (0.76) 0 (45) (45) (0.76) 0 (45)
Private - PT 837 14.18 0 837 837 14.18 0 837
Private - OT 611 10.36 0 611 611 10.36 0 611
TOTAL PRIVATE PAY 13,163 223.10 0 13,163 13,163 223.10 0 13,163
MEDICAID
Medicaid - Room & Board 99,040 162.63 0 99,040 99,040 162.63 0 99,040
Medicaid - Contract. Adj. 5,081 8.34 0 5,081 5,081 8.34 0 5,081
Medicaid - Pharmacy (132) (0.22) 0 (132) (132) (0.22) 0 (132)
Medicaid - Anc. Contract Adj. 132 0.22 0 132 132 0.22 0 132
TOTAL MEDICAID 104,121 170.97 0 104,121 104,121 170.97 0 104,121
MANAGED CARE
Managed - Room & Board 3,520 160.00 0 3,520 3,520 160.00 0 3,520
Managed - Contract. Adj. 5,705 259.32 0 5,705 5,705 259.32 0 5,705
Managed - Pharmacy 7,119 323.60 0 7,119 7,119 323.60 0 7,119
Managed - PT 2,399 109.03 0 2,399 2,399 109.03 0 2,399
Managed - OT 3,601 163.67 0 3,601 3,601 163.67 0 3,601
Managed - ST 4,074 185.18 0 4,074 4,074 185.18 0 4,074
Managed - Anc. Contract. Adj. (17,193) (781.49) 0 (17,193) (17,193) (781.49) 0 (17,193)
TOTAL MANAGED CARE 9,225 419.32 0 9,225 9,225 419.32 0 9,225
HOSPICE
Hospice - Room & Board 12,264 172.73 0 12,264 12,264 172.73 0 12,264
Hospice - Contract. Adj. (125) (1.76) 0 (125) (125) (1.76) 0 (125)
Hospice - Pharmacy 22 0.31 0 22 22 0.31 0 22
Hospice - Anc. Contract. Adj. (22) (0.31) 0 (22) (22) (0.31) 0 (22)
TOTAL HOSPICE 12,139 170.97 0 12,139 12,139 170.97 0 12,139
VETERANS ADMINISTRATION
TOTAL VETERANS ADMINISTRATION 0 - 0 0 0 - 0 0
ASSISTED LIVING
Asst. Living - Room & Board 12,000 48.39 0 12,000 12,000 48.39 0 12,000
TOTAL ASSISTED LIVING 12,000 48.39 0 12,000 12,000 48.39 0 12,000
MEDICARE PART B
Med B - Contract. Adj. (6,167) (59.88) 0 (6,167) (6,167) (59.88) 0 (6,167)
Med B - PT 1,034 10.04 0 1,034 1,034 10.04 0 1,034
Med B - OT 2,384 23.14 0 2,384 2,384 23.14 0 2,384
Med B - ST 8,258 80.17 0 8,258 8,258 80.17 0 8,258
Med B - 2% Reduction (273) (2.65) 0 (273) (273) (2.65) 0 (273)
TOTAL MEDICARE PART B 5,235 50.82 0 5,235 5,235 50.82 0 5,235
OTHER INCOME
Other Income - Miscellaneous 310 0.28 0 310 310 0.28 0 310
TOTAL OTHER INCOME 310 0.28 0 310 310 0.28 0 310
TOTAL REVENUE 186,183 167.43 0 186,183 186,183 167.43 0 186,183