Statement of Operations Westchester Manor at Providence Place (WC)

Transcription

1 Page 1 of 6 11, , OPERATING REVENUE Days 11, ,072 11, , NET PATIENT SERVICES REDays 11, ,072 11, , ROUTINE REVENUE Days 11, , , , ,895 * ROOM & BOARD PRIVATE 355, , ,895 * 13,800 11,630 2, ROOM & BOARD PRIVATE IC 13,800 11,630 1,458,915 1,503,301 44,386 * ROOM & BOARD - MEDICAID SK 1,458,915 1,503,301 44,386 * (26,500) 11,872 38,372 * (3.79) ROOM & BOARD - MEDICAID IC (26,500) 11,872 38,372 * 162,110 19, , ROOM & BOARD - HOSPICE IC 162,110 19, , , ,412 70,437 * ROOM & BOARD - MEDICARE 427, ,412 70,437 * 29,800 19,936 9, ROOM & BOARD - INS/HMO 29,800 19,936 2,422,050 2,531, ,884 * , Total ROUTINE REVENUE 2,422,050 2,531, ,884 * , , , ANCILLARY REVENUE Days 11, ,072 (740) PHYSICAL THERAPY - PRIVATE (740) * PHYSICAL THERAPY - MEDICAID * * PHYSICAL THERAPY - HOSPICE * , ,982 24, PHYSICAL THERAPY - MEDICARE 198, , , , PHYSICAL THERAPY - MEDICARE 144, , ,294 48,476 12,181* PHYSICAL THERAPY - INS/HMO 36,294 48,476 12,181 * (931) OCCUPATIONAL THERAPY - PRIV (931) 1,526 1,526 * OCCUPATIONAL THERAPY - MEDI 1,526 1,526 * * OCCUPATIONAL THERAPY - HOSP * , ,574 6, OCCUPATIONAL THERAPY - MEDI 168, , ,593 91,388 13, OCCUPATIONAL THERAPY - MEDI 104,593 91,388 13, ,835 41, OCCUPATIONAL THERAPY - INS/H 41,835 41,276 (843) SPEECH THERAPY - PRIVATE (843) * SPEECH THERAPY - MEDICAID * * SPEECH THERAPY - HOSPICE * ,319 99,697 18, SPEECH THERAPY - MEDICARE A 118,319 99,697 68,095 50,054 18, SPEECH THERAPY - MEDICARE B 68,095 50,054 18, ,320 26,630 12,310 * SPEECH THERAPY - INS/HMO 14,320 26,630 12,310 * * PHYSICIAN CARE - MEDICARE A * * TRANSPORTATION - PRIVATE * 4,035 5,172 1,137 * TRANSPORTATION - MEDICAID 4,035 5,172 1,137 * TRANSPORTATION - HOSPICE 65 3,835 4, * TRANSPORTATION - MEDICARE A 3,835 4, * * TRANSPORTATION - INS/HMO * LEGEND DRUGS - MEDICAID ,717 76,552 27, LEGEND DRUGS - MEDICARE A 103,717 76,552 4,270 13,461 9,192 * LEGEND DRUGS - INS/HMO 4,270 13,461 9,192 * NON-LEGEND DRUGS - MEDICAID ,442 2, * NON-LEGEND DRUGS - MEDICARE 1,442 2, * * NON-LEGEND DRUGS - INS/HMO * 448 1,496 1,048 * EQUIPMENT RENTAL - PRIVATE 448 1,496 1,048 * 7,890 3,928 3, EQUIPMENT RENTAL - MEDICAID 7,890 3, EQUIPMENT RENTAL - HOSPICE ,256 4,001 1,745 * EQUIPMENT RENTAL - MEDICARE 2,256 4,001 1,745 * * EQUIPMENT RENTAL - INS/HMO * LABORATORY - PRIVATE * LABORATORY - MEDICAID * 1,430 5,085 3,655 * LABORATORY - MEDICARE A 1,430 5,085 3,655 * * LABORATORY - INS/HMO * 51 51* XRAY - MEDICAID * 1,951 2,956 1,005 * XRAY - MEDICARE A 1,951 2,956 1,005 * * XRAY - HMO/INS * * OXYGEN - PRIVATE * 4,470 2,745 1, OXYGEN - MEDICAID 4,470 2,745 2,170 9, , , , , , , (3.79) * Unfavorable erences

2 Page 2 of OXYGEN - HOSPICE ,075 1,845 2, OXYGEN - MEDICARE A 4,075 1, * OXYGEN - INSURANCE/HMO * 2,647 8,838 6,191* MEDICAL SUPPLIES - PRIVATE 2,647 8,838 6,191 * 10,390 8,172 2, MEDICAL SUPPLIES - MEDICAID 10,390 8, MEDICAL SUPPLIES - HOSPICE ,426 3,047 2, MEDICAL SUPPLIES - MEDICARE A 5,426 3, , * MEDICAL SUPPLIES - INS/HMO 371 1, * 8,235 6,464 1, CENTRAL SUPPLIES - PRIVATE 8,235 6,464 39,985 25,691 14, CENTRAL SUPPLIES - MEDICAID 39,985 25,691 1, CENTRAL SUPPLIES - HOSPICE 1, ,936 5,228 3, CENTRAL SUPPLIES - MEDICARE 8,936 5, * CENTRAL SUPPLIES - INS/HMO * 716 2,649 1,933 * DIETARY SUPPLEMENTS - PRIVAT 716 2,649 1,933 * (64) 7,691 7,756 * (0.01) DIETARY SUPPLEMENTS - MEDIC (64) 7,691 7,756 * * DIETARY SUPPLEMENTS - HOSPIC * * DIETARY SUPPLEMENTS - MEDIC * * DIETARY SUPPLEMENTS - INS/HM * * LAUNDRY - PRIVATE * 3,628 2, LAUNDRY - MEDICAID 3,628 2, LAUNDRY - HOSPICE LAUNDRY - MEDICARE A (24) * (0.18) LAUNDRY - INS/HMO (24) * 4,773 3,414 1, BEAUTY/BARBER 4,773 3,414 1, ,126,888 1,046,607 80, , Total ANCILLARY REVENUE 1,126,888 1,046,607 80, , ,230 2,218 2,379 1,771 14,294 3, (0.01) (0.18) 11, , OTHER REVENUE Days 11, , VENDING INCOME * Interest Income-Capmark Reserve * , , MISC INCOME 2, , ,400 2,400 * MEAL SALES 2,400 2,400 * ,191 2, Total OTHER REVENUE 3,191 2, , , CONTRACTUAL ALLOWANCDays 11, ,072 (109) CONTRACT ALLOWANCE - PRIVAT (109) (69,862) (59,323) 10,539 * (9.99) CONTRACT ALLOWANCE - MEDIC (69,862) (59,323) 10,539 * (2,464) (1,743) 721* (3.04) (5.81) CONTRACT ALLOWANCE - HOSPI (2,464) (1,743) 721 * (3.04) (5.81) (616,991) (543,217) 73,775 * (315.76) CONTRACT ALLOWANCE - MEDIC (616,991) (543,217) 73,775 * (66,924) (131,162) 64,238 (484.96) CONTRACT ALLOWANCE - INS/HM (66,924) (131,162) (120,690) (104,855) 15,835 * (10.61) (349.52) CONTRACT ALLOWANCE - MEDIC (120,690) (104,855) 15,835 * (10.61) (349.52) (342,089) (396,453) 54,364 (48.94) ROOM CARE DIFFERENCE - MEDI (342,089) (396,453) (32,402) (5,216) 27,185 * (39.95) (17.39) ROOM CARE DIFFERENCE - HOSP (32,402) (5,216) 27,185 * (39.95) (17.39) 466, ,975 85,201* ROOM CARE DIFFERENCE - MEDI 466, ,975 85,201 * 23,837 22,079 1, ROOM CARE DIFFERENCE - INS/H 23,837 22,079 (760,811) (668,024) 92,787 * (66.90) (2,226.75) Total CONTRACTUAL ALLOWANCES (760,811) (668,024) 92,787 * (66.90) (2,226.75) 2,791,317 2,913, ,956 * , Total NET PATIENT SERVICES REVENUE 2,791,317 2,913, ,956 * , ,791,317 2,913, ,956 * , Total OPERATING REVENUE 2,791,317 2,913, ,956 * , ,238 54,364 1,758 (9.99) (315.76) (484.96) (48.94) ,312 21,250 2,062 * OPERATING EXPENSES PATIENT CARE EXPENSE NURSING ADMIN LABOR EX DIRECTOR OF NURSES WAGES 23,312 21,250 2,062 * ,610 15, * ASST DIRECTOR OF NURSES - W 15,610 15, * ,501 15, * STAFF DEVELOPMENT COORDINA 16,501 15, * ,427 30,702 12, MDS/CARE PLAN COORDINATOR 18,427 30,702 12, * Unfavorable erences

3 Page 3 of 6 17,567 16,486 1,081* MDS ASSISTANT 17,567 16,486 1,081 * ,223 7, * SCHEDULING COORDINATOR WA 8,223 7, * ,412 7, * CENTRAL SUPPLY CLERK WAGES 8,412 7, * ,644 13,416 3, MEDICAL RECORDS WAGES 9,644 13,416 3, ,500 7, VACATION/HOLIDAY/SICK 359 7,500 7, ,829 6, * EMPLOYEE BENEFITS-Nursing Adm 6,829 6, * ,250 12,587 3, PAYROLL TAXES-Nursing Mgmt 9,250 12,587 3, ,993 3,910 2,083 * WORKERS COMPENSATION 5,993 3,910 2,083 * , ,159 18, Total NURSING ADMIN LABOR EXPENSE 140, ,159 18, ROUTINE NURSING LABOR 91,692 91, RN WAGES 91,692 91, , ,583 11, LPN WAGES 245, ,583 11, , ,953 23,481* CNA WAGES 321, ,953 23,481 * ,184 7, * TRANSPORTER 8,184 7, * ,536 30,000 6, VACATION/HOLIDAY/SICK 23,536 30,000 6, ,370 37, * EMPLOYEE BENEFITS-NURSING 37,370 37, * ,927 66,938 6, PAYROLL TAXES-NURSING 60,927 66,938 6, ,580 18,648 9,933 * WORKERS COMPENSATION 28,580 18,648 9,933 * , ,078 10,080 * , Total ROUTINE NURSING LABOR EXPENSE 817, ,078 10,080 * , NURSING NON-LABOR EXPE 19,500 19, MEDICAL DIRECTOR FEES 19,500 19, ,548 2, MEDICAL & DENTAL CONTRACT F 1,548 2, SEMINAR & CONFERENCE FEES ,065 6,065 * Nursing Training and Development 6,065 6,065 * , NOTES & FORMS 782 1, ,143 20,784 2,359 * NURSING SUPPLIES 23,143 20,784 2,359 * ,717 7,428 2,289 * MINOR EQUIPMENT RENTAL 9,717 7,428 2,289 * ,993 2, BIOHAZARDS WASTE 1,993 2, ,748 54,520 8,228 * Total NURSING NON-LABOR EXPENSES 62,748 54,520 8,228 * THERAPY NON-LABOR EXP 132, ,064 10, PHYSICAL THERAPY CONTRACT 132, ,064 10, , ,480 1,688 * OCCUPATIONAL THERAPY CONTR 110, ,480 1,688 * ,332 58,858 5, SPEECH THERAPY CONTRACT 53,332 58,858 5, ,600 3, * SPEECH THERAPY TESTING 3,600 3, * ,065 7,065 * RESPIRATORY THERAPY CONTRA 7,065 7,065 * 34,685 70,286 35, Outpatient Therapy Expense 34,685 70,286 35, ,925 1, SUPPLIES 688 1,925 1, ,006 3, * Therapy Equipment Rentals 4,006 3, * ,094 24,600 6, Therapy Rental Expense 18,094 24,600 6, , ,264 50, , Total THERAPY NON-LABOR EXPENSE 363, ,264 50, , ANCILLARY EXPENSES MEDICAL TRANSPORTATION ,971 56,561 25,410 * LEGEND DRUGS 81,971 56,561 25,410 * ,422 2,339 7,083 * NON LEGEND DRUGS 9,422 2,339 7,083 * ,083 2, LABORATORY 711 3,083 2, ,201 1, * XRAY 2,201 1, * ,224 5,315 3,909 * OXYGEN 9,224 5,315 3,909 * ,027 7,102 2, HOSPITAL SERVICES/DR VISIT 5,027 7,102 2, ,409 30,091 4,318 * MEDICAL/CENTRAL SUPPLIES 34,409 30,091 4,318 * ,002 5, * DIETARY/NUTRITIONAL SUPPLEM 6,002 5, * ,328 3,321 2,007 * CONTRACT BARBER/BEAUTY 5,328 3,321 2,007 * , ,434 38,862 * Total ANCILLARY EXPENSES 154, ,434 38,862 * * Unfavorable erences

4 Page 4 of SOCIAL SERVICES LABOR E 11,750 10,728 1,022 * SOCIAL SERVICES DIRECTOR WA 11,750 10,728 1,022 * ,575 10,416 1,159 * SOCIAL SERVICES ASST WAGES 11,575 10,416 1,159 * ,901 13, * ADMISSION COORDINATOR WAG 13,901 13, * ,034 1, VACATION/HOLIDAY/SICK 1,034 1, ,916 1, EMPLOYEE BENEFITS-SOCIAL SE 1,916 1, ,796 3, PAYROLL TAXES-SOCIAL SERVIC 2,796 3, , * WORKERS COMPENSATION 1, * ,460 42,074 1,386 * Total SOCIAL SERVICES LABOR EXPENSE 43,460 42,074 1,386 * SOCIAL SERVICES NON-LAB * SEMINARS AND CONFERENCE FE * * Total SOCIAL SERVICES NON-LABOR EXPE * ACTIVITIES LABOR EXPENS 4,359 9,304 4, ACTIVITIES DIRECTOR WAGES 4,359 9,304 4, ,769 13,760 9 * ACTIVITIES ASSISTANT WAGES 13,769 13,760 9 * VACATION/HOLDIAY/SICK ,770 2, * EMPLOYEE BENEFITS-ACTIVITIES 2,770 2, * ,734 2, PAYROLL TAXES-ACTIVITIES 1,734 2, * WORKERS COMPENSATION * ,046 29,300 5, Total ACTIVITIES LABOR EXPENSE 24,046 29,300 5, ACTIVITIES NON-LABOR EX * SEMINARS AND CONFERENCE FE * ,545 1, * SUPPLIES 2,545 1, * ,585 1, * Total ACTIVITIES NON-LABOR EXPENSE 2,585 1, * DIETARY NON-LABOR EXPE 149, ,575 4, CONTRACT LABOR 149, ,575 4, , ,242 * SUPPLIES 1, ,242 * , ,025 3, Total DIETARY NON-LABOR EXPENSE 151, ,025 3, ,759,613 1,777,804 18, , Total PATIENT CARE EXPENSE 1,759,613 1,777,804 18, , ,413 40, OTHER OPERATING EXPEN HOUSEKEEPING NON-LABO CONTRACT SERVICES 40,413 40, * SUPPLIES * ,803 40, * Total HOUSEKEEPING NON-LABOR EXPEN 40,803 40, * LAUNDRY NON-LABOR EXP 26,940 26, CONTRACT SERVICES 26,940 26, ,940 26, Total LAUNDRY NON-LABOR EXPENSES 26,940 26, MAINTENANCE LABOR EXP 20,352 18,000 2,352 * MAINTENANCE STAFF WAGES 20,352 18,000 2,352 * VACATION/HOLIDAY/SICK ,942 2, EMPLOYEE BENEFITS-MAINTENA 1,942 2, ,408 1, PAYROLL TAXES-MAINTENANCE 1,408 1, * WORKERS COMPENSATION * ,413 22,865 1,548 * Total MAINTENANCE LABOR EXPENSE 24,413 22,865 1,548 * MAINTENANCE NON-LABOR (442) (0.04) UNIFORMS (442) (0.04) ,396 3, * CONTRACT SERVICES 3,396 3, * * Unfavorable erences

5 Page 5 of BUILDING REPAIR & MAINTENENC ,245 3, EQUIPMENT REPAIR AND MAINTE 2,245 3, AUTO REPAIR AND MAINTENANCE ,437 1, * AUTO FUEL EXPENSE AND MILEA 1,437 1, * ,433 5,143 1,290 * UTILITIES NATURAL GAS 6,433 5,143 1,290 * ,438 30,432 3, UTILITIES ELECTRIC 26,438 30,432 3, ,636 7,433 2,203 * UTILITIES SEWER AND WATER 9,636 7,433 2,203 * ,994 6, UTILITIES CABLE 5,994 6, ,951 2, TRASH DISPOSAL SERVICES 1,951 2, ,884 5, LAWN CARE/GROUNDS MAINTEN 4,884 5, ,838 6,680 4, SUPPLIES 1,838 6,680 4, ,974 71,898 7, Total MAINTENANCE NON-LABOR EXPENS 63,974 71,898 7, ,990 33,981 8,008 * GENERAL & ADMIN LABOR ADMINISTRATOR WAGES 41,990 33,981 8,008 * ,272 8, HR Assistant 8,272 8, ,481 14,382 1,099 * ACCOUNTING MANAGER WAGES 15,481 14,382 1,099 * ,091 11,071 2, RECEPTIONIST WAGES 8,091 11,071 2, ,234 1, VACATION/HOLIDAY/SICK 1,234 1, ,512 10,477 2,034 * EMPLOYEE BENEFITS-G&A 12,512 10,477 2,034 * ,715 11,808 2, PAYROLL TAXES-G&A 9,715 11,808 2, ,275 3,441 1,833 * WORKERS COMPENSATION 5,275 3,441 1,833 * ,790 2, Pension-Ministerial 2,790 2, ,937 25, * Billing and Credit 25,937 25, * ,731 4, Ministerial assistant 4,731 4, ,236 1, Healthcare Administration Fees 1,236 1, ,151 30,930 9,221* ing and HR wages 40,151 30,930 9,221 * ,711 19,114 12,597 * Ministerial Salary 31,711 19,114 12,597 * , ,358 29,766 * Total GENERAL & ADMIN LABOR EXPENSE 209, ,358 29,766 * GENERAL & ADMIN NON-LA SEMINARS AND CONFERENCE FE ,978 5, * EMPLOYEE RELATIONS 5,978 5, * ,337 1,050 1,287 * EMPLOYEE HIRING 2,337 1,050 1,287 * ,966 19,683 11,283 * ADVERTISING - PROMOTIONAL 30,966 19,683 11,283 * DUES AND PUBLICATIONS ,798 2, * COPIER EXPENSE 2,798 2, * ,670 9,063 3,608 * COMPUTER DATA PROCESSING 12,670 9,063 3,608 * ,519 3,000 3,519 * OFFICE SUPPLIES 6,519 3,000 3,519 * ,521 1, * POSTAGE 1,521 1, * ,362 6,564 1, TELEPHONE 5,362 6,564 1, * PRINTING * PUBLIC RELATIONS ,770 3, LICENSING FEES 2,770 3, ,891 4, INSURANCE - PROPERTY 4,891 4, ,716 27, INSURANCE - GEN/PROF LIABILIT 27,716 27, ,080 4, Property Insurance 4,080 4, ,552 1, INSURANCE - Other 15 1,552 1, ,949 7,500 1, LEGAL FEES 5,949 7,500 1, ,970 6, * PAYROLL PROCESSING FEES 6,970 6, * ,320 25,139 21,181* AUDIT & COST REPORT FEES 46,320 25,139 21,181 * , ,842 2, Bed Tax Expense 118, ,842 2, * BANK CHARGES * (2) Interest (2) * MISCELLANEOUS EXPENSE * ,000 31, ALLOWANCE FOR BAD DEBT EXP 31,000 31, * Donations Expense * ,300 3, CONTRACT LABOR/Consultants 3,300 3, * Unfavorable erences

6 Page 6 of Dixon Hughes Billing ,276 13, MORTGAGE INSURANCE 13,276 13, ,066 6,965 1, MCARE B COINS BAD DEBT 5,066 6,965 1, , ,659 29,605 * , Total GENERAL & ADMIN NON-LABOR EXPE 337, ,659 29,605 * , , ,283 53,236 * , Total OTHER OPERATING EXPENSE 702, ,283 53,236 * , ,462,132 2,427,087 35,045 * , Total OPERATING EXPENSES 2,462,132 2,427,087 35,045 * , , , ,001* , Total Income(Loss) from Operations 329, , ,001 * , Interest, Depreciation, and O Allocated Corporate Expens 170, ,796 4, Management Fees 170, ,796 4, , ,796 4, Total Allocated Corporate Expenses 170, ,796 4, DEBT SERVICE & RELATED 168, , * INTEREST BERKADIA 168, , * , , * Total DEBT SERVICE & RELATED EXPENSE 168, , * OTHER EXPENSES 1,089 1, Loan Cost and Premium Amortizatio 1,089 1, * Other Income/Expense * ,390 71, * DEPRECIATION 72,390 71, * ,948 72,751 1,197 * Total OTHER EXPENSES 73,948 72,751 1,197 * , ,934 3, , Total Interest, Depreciation, and Other 412, ,934 3, , (83,582) 70, ,834 * (7.35) Total EXCESS (DEFICIT) OF REV OVER EXP (83,582) 70, ,834 * (7.35) * Unfavorable erences