Crystal Report Viewer

CR SNF Reference Report

Line Description‎

Column Description‎

Col‎

Value‎

Type‎

Line‎

BEVERLY HEALTHCARE-TYSON

015040

03/31/2006

01/01/2006

MONTGOMERY, AL 36106

Settled

G00

Wkst G Balance Sheet

General Fund

0100

Cash on Hand and in Banks

650.

00100

General Fund

0100

Accounts Receivable

861,175.

00400

General Fund

0100

Other Receivables

-65,078.

00500

General Fund

0100

Less‎: ‎Allowance for Uncollectible notes and ‎

Receivables‎

123,149.

00600

General Fund

0100

Inventory

38,052.

00700

General Fund

0100

Prepaid Expenses

9,087.

00800

General Fund

0100

TOTAL CURRENT ASSETS

720,737.

01100

General Fund

0100

Other Assets

219.

03100

General Fund

0100

TOTAL OTHER ASSETS

219.

03200

General Fund

0100

TOTAL ASSETS

720,956.

03300

General Fund

0100

Accounts Payable

79,622.

03400

General Fund

0100

Salaries, Wages & Fees Payable

67,273.

03500

General Fund

0100

Payroll Taxes Payable

5,597.

03600

General Fund

0100

Deferred Income

2,134.

03800

General Fund

0100

Other Current Liabilities

84,068.

04100

General Fund

0100

TOTAL CURRENT LIABILITIES

238,694.

04200

General Fund

0100

Other Long Term Liabilities

5,381.

04700

General Fund

0100

TOTAL LONG TERM LIABILITIES

5,381.

04900

General Fund

0100

TOTAL LIABILITIES

244,075.

05000

General Fund

0100

General Fund Balance

476,881.

05100

General Fund

0100

TOTAL FUND BALANCE

476,881.

05800

General Fund

0100

TOTAL LIABILITIES AND FUND BALANCE

720,956.

05900

G20

Wkst G-2 Statement of Patient Revenues and Operating Expenses

1

Part 1 - Patient Revenues

Inpatient Revenue

0100

Skilled Nursing Facility

1,905,033.

00100

Inpatient Revenue

0100

Total General Inpatient Care Services

1,905,033.

00500

Inpatient Revenue

0100

Ancillary Services

308,636.

00600

Inpatient Revenue

0100

Total Patient Revenues

2,213,669.

01400

Total Revenue

0300

2,213,669.

01400

2

Part 2 - Operating Expenses

Expense

0100

Operating Expenses

1,758,354.

00100

Expense

0100

Total Operating Expenses

1,758,354.

01500

G30

Wkst G-3 Statement of Revenues and Expenses

Amounts

0100

Net Patient Revenues (Line 1-2)

1,826,786.

00300

Amounts

0100

Net Income from Services (Lines 3-4)

68,432.

00500

Amounts

0100

Total Other Income (Lines 7 to 25)

-110,746.

02600

Amounts

0100

Net Income or Loss from the period

-42,314.

03200

GOLDEN LIVING - MONTGOMERY

015040

12/31/2006

04/01/2006

MONTGOMERY, AL 36106

Submitted

G00

Wkst G Balance Sheet

General Fund

0100

Cash on Hand and in Banks

-786,883.

00100

General Fund

0100

Accounts Receivable

720,410.

00400

General Fund

0100

Other Receivables

20,462.

00500

G00

Wkst G Balance Sheet

General Fund

0100

Less‎: ‎Allowance for Uncollectible notes and ‎

Receivables‎

-86,568.

00600

General Fund

0100

Inventory

38,052.

00700

General Fund

0100

Prepaid Expenses

12,623.

00800

General Fund

0100

TOTAL CURRENT ASSETS

-81,904.

01100

General Fund

0100

Leasehold Improvements

60,071.

01700

General Fund

0100

Less - Accumulated Depeciation

-1,618.

01800

General Fund

0100

Major Movable Equipment

51,936.

02300

General Fund

0100

Less - Accumulated Depeciation

-1,158.

02400

General Fund

0100

Other Fixed Assets

130,791.

02600

General Fund

0100

TOTAL FIXED ASSETS

240,022.

02700

General Fund

0100

Other Assets

25,437.

03100

General Fund

0100

TOTAL OTHER ASSETS

25,437.

03200

General Fund

0100

TOTAL ASSETS

183,555.

03300

General Fund

0100

Accounts Payable

278,127.

03400

General Fund

0100

Salaries, Wages & Fees Payable

153,177.

03500

General Fund

0100

Payroll Taxes Payable

21,755.

03600

General Fund

0100

Deferred Income

2,167.

03800

General Fund

0100

Other Current Liabilities

42,541.

04100

General Fund

0100

TOTAL CURRENT LIABILITIES

497,767.

04200

General Fund

0100

Other Long Term Liabilities

88,787.

04700

General Fund

0100

TOTAL LONG TERM LIABILITIES

88,788.

04900

General Fund

0100

TOTAL LIABILITIES

586,555.

05000

General Fund

0100

General Fund Balance

-403,000.

05100

General Fund

0100

TOTAL FUND BALANCE

-403,000.

05800

General Fund

0100

TOTAL LIABILITIES AND FUND BALANCE

183,555.

05900

G20

Wkst G-2 Statement of Patient Revenues and Operating Expenses

1

Part 1 - Patient Revenues

Inpatient Revenue

0100

Skilled Nursing Facility

5,049,061.

00100

Inpatient Revenue

0100

Total General Inpatient Care Services

5,049,061.

00500

Inpatient Revenue

0100

Ancillary Services

595,506.

00600

Inpatient Revenue

0100

Total Patient Revenues

5,644,567.

01400

Total Revenue

0300

5,644,567.

01400

2

Part 2 - Operating Expenses

Expense

0100

Operating Expenses

5,569,399.

00100

Expense

0100

Total Operating Expenses

5,569,399.

01500

G30

Wkst G-3 Statement of Revenues and Expenses

Amounts

0100

Net Patient Revenues (Line 1-2)

4,816,401.

00300

Amounts

0100

Net Income from Services (Lines 3-4)

-752,998.

00500

Amounts

0100

Total Other Income (Lines 7 to 25)

25,002.

02600

Amounts

0100

Net Income or Loss from the period

-727,996.

03200

OAK TRACE

015050

12/31/2006

01/01/2006

BESSEMER, AL 35020

Settled

G00

Wkst G Balance Sheet

General Fund

0100

Cash on Hand and in Banks

25,535.

00100

General Fund

0100

Accounts Receivable

482,552.

00400

G00

Wkst G Balance Sheet

General Fund

0100

Other Receivables

5,824.

00500

General Fund

0100

Less‎: ‎Allowance for Uncollectible notes and ‎

Receivables‎

2,877.

00600

General Fund

0100

Prepaid Expenses

18,089.

00800

General Fund

0100

TOTAL CURRENT ASSETS

529,123.

01100

General Fund

0100

TOTAL ASSETS

529,123.

03300

General Fund

0100

Accounts Payable

101,822.

03400

General Fund

0100

Salaries, Wages & Fees Payable

98,954.

03500

General Fund

0100

Other Current Liabilities

173,403.

04100

General Fund

0100

TOTAL CURRENT LIABILITIES

374,179.

04200

General Fund

0100

TOTAL LIABILITIES

374,179.

05000

General Fund

0100

General Fund Balance

154,944.

05100

General Fund

0100

TOTAL FUND BALANCE

154,944.

05800

General Fund

0100

TOTAL LIABILITIES AND FUND BALANCE

529,123.

05900

G20

Wkst G-2 Statement of Patient Revenues and Operating Expenses

1

Part 1 - Patient Revenues

Inpatient Revenue

0100

Skilled Nursing Facility

3,254,270.

00100

Inpatient Revenue

0100

Total General Inpatient Care Services

3,254,270.

00500

Inpatient Revenue

0100

Ancillary Services

721,819.

00600

Inpatient Revenue

0100

Total Patient Revenues

3,976,089.

01400

Total Revenue

0300

3,976,089.

01400

2

Part 2 - Operating Expenses

Total Expenses

0200

Operating Expenses

3,582,906.

00100

Total Expenses

0200

Total Operating Expenses

3,582,906.

01500

G30

Wkst G-3 Statement of Revenues and Expenses

Amounts

0100

Net Patient Revenues (Line 1-2)

3,708,341.

00300

Amounts

0100

Net Income from Services (Lines 3-4)

125,435.

00500

Amounts

0100

Total Other Income (Lines 7 to 25)

16,443.

02600

Amounts

0100

Net Income or Loss from the period

141,878.

03200

SOUTH HAVEN HEALTH & REHAB CENTER

015043

09/30/2006

10/01/2005

MONTGOMERY, AL 36116

Submitted

G00

Wkst G Balance Sheet

General Fund

0100

Cash on Hand and in Banks

39,789.

00100

General Fund

0100

Other Receivables

50,026.

00500

General Fund

0100

Prepaid Expenses

2,117.

00800

General Fund

0100

TOTAL CURRENT ASSETS

91,932.

01100

General Fund

0100

Leasehold Improvements

67,142.

01700

General Fund

0100

Less - Accumulated Depeciation

2,870.

01800

General Fund

0100

Fixed Equipment

39,040.

01900

General Fund

0100

Less - Accumulated Depeciation

4,481.

02000

General Fund

0100

TOTAL FIXED ASSETS

98,831.

02700

General Fund

0100

Deposits on leases

91,532.

02900

General Fund

0100

Other Assets

27,925.

03100

General Fund

0100

TOTAL OTHER ASSETS

119,457.

03200

General Fund

0100

TOTAL ASSETS

310,220.

03300

General Fund

0100

Accounts Payable

294,038.

03400

G00

Wkst G Balance Sheet

General Fund

0100

Salaries, Wages & Fees Payable

121,333.

03500

General Fund

0100

Payroll Taxes Payable

49,977.

03600

General Fund

0100

Deferred Income

51,867.

03800

General Fund

0100

Other Current Liabilities

730,876.

04100

General Fund

0100

TOTAL CURRENT LIABILITIES

1,248,091.

04200

General Fund

0100

Mortgage Payable

54,714.

04300

General Fund

0100

Other Long Term Liabilities

-893,150.

04700

General Fund

0100

TOTAL LONG TERM LIABILITIES

-838,436.

04900

General Fund

0100

TOTAL LIABILITIES

409,655.

05000

General Fund

0100

General Fund Balance

-99,435.

05100

General Fund

0100

TOTAL FUND BALANCE

-99,435.

05800

General Fund

0100

TOTAL LIABILITIES AND FUND BALANCE

310,220.

05900

G20

Wkst G-2 Statement of Patient Revenues and Operating Expenses

1

Part 1 - Patient Revenues

Inpatient Revenue

0100

Skilled Nursing Facility

6,225,674.

00100

Inpatient Revenue

0100

Other Long Term Care

-1,303.

00400

Inpatient Revenue

0100

Total General Inpatient Care Services

6,224,371.

00500

Inpatient Revenue

0100

Ancillary Services

803,929.

00600

Inpatient Revenue

0100

Total Patient Revenues

7,028,300.

01400

Total Revenue

0300

7,028,300.

01400

2

Part 2 - Operating Expenses

Total Expenses

0200

Operating Expenses

5,477,468.

00100

Total Expenses

0200

Total Operating Expenses

5,477,468.

01500

G30

Wkst G-3 Statement of Revenues and Expenses

Amounts

0100

Net Patient Revenues (Line 1-2)

5,374,329.

00300

Amounts

0100

Net Income from Services (Lines 3-4)

-103,139.

00500

Amounts

0100

Other Revenue - Income from Investments

-1.

00800

Amounts

0100

Total Other Income (Lines 7 to 25)

3,704.

02600

Amounts

0100

Net Income or Loss from the period

-99,435.

03200

C:\DOCUME~1\ROBERT~1\LOCALS~1\Temp\temp_4bc7a606-7881-42ce-8247-8c536037d7ca {F376E5AB-81BB-45E0-A1BA-B99FBFAA1E94}.rpt

5:09:58PM

3/4/2008

2/16/2004

3/4/2008

5:09:58PM

3/4/2008

Page 4 of 4

5:09 pm

Healthcare Almanac ‎(‎561‎)‎228‎-‎1582‎

www‎.‎halmanac‎.‎com‎