7. In this case, a) how does the Medicare income affect the financial viability of the NF, and b) from what figures have you derived your conclusion?

8. What is the monthly cost of the ADON salary?

9. How many CENAs work second shift on any given day?

10. Which positions are on call (HOC)?

11. What is the hourly rate the ward clerks are paid?

12. How many full time equivalent employees work in social services?

XYZ NURSING HOME, INC. BUDGET SUMMARY 6/30/2012 DAILY PATIENTS 130 DEPARTMENTAL PAYROLL FULL TIME EQUIVALENT PAY PERIOD DESCRIPTION HOC SHIFT WEEK WEEK HOURS RATE DAY END DON N 1 1 80.00 38.00 MONTHLY COST COST PPD HOC 3,040.00 6,587 1.67 ADON Y 1 1 80.00 26.00 2.080.00 4,507 1.14 N 2 2 180.00 22.00 3.520.00 7.627 1.93 COMPUTER LPN RN OBRA N 1 1 2,080.00 4,507 1.14 80.00 26.00 864.00 26.00 RN Y 22.464.00 48,672 12.31 47 1 2 3 4 3 3 3 1 LPN Y 1,344.00 21.50 28,896.00 62,608 15.83 .74 1 2 3 5 4 3 CENA Y 4,816.00 13.00 62,608.00 135,651 34.31 2.65 1 2 3 18 15 10 18 15 10 WARD CLERKS N 1 2 160.00 14.00 2.240.00 4,853 123 N 1 5.5 1 456.00 15.00 6,840.00 14,820 3.75 N 1 25 200.00 18.50 3,700.00 8,017 2.03 N 1 25 200.00 18.75 3.750.00 8,125 2.05 N 1 3 1 272.00 24.00 14,144 3.58 ACTIVITIES MEDICAL RECORDS SOCIAL SERVICES MAINTENANCE HOUSEKEEPING LAUNDRY DIETARY OFFICE GRAND TOTALS 6,528.00 14,384.00 N 1 10 6 992.00 14.50 31,165 7.88 N 1 5 2 464.00 14.00 6,496.00 14,075 356 N 1 12 7 1,184.00 13.50 15,984.00 34.632 8.78 N 1 5 1 432.00 16.00 6,912.00 14,976 3.79 11,784 00 191,522.00 414.966 104.96 3.86 Date: Provider Name: Provider Number: F.Y.E.: Effective Date: 9/26/2014 ABC Nursing Home, Inc. 60-2166315 December 31 10/1/2014 Calculation of Variable Rate Base Total Beds LTC Beds 90 90 160.591481 119.481993 41.109488 0.344064 0.336800 A. Variable cost per day Filed Cost Report: 12/31/2013 B. Base cost per day C. Support cost per day D. Provider's support/base ratio E. Support/Base ratio limit per bed size group F. Cost Index (CI) From: 12/31/2013 To: 10/1/2014 G. Indexed base cost component (BCC) H. Indexed support cost component (SCC) 1. Variable rate base (VRB) J. Variable Cost Limit (VCL) As of: 10/1/2014 K. Lesser of Variable Rate Base or Variable Cost Limit II. A. Economic Inflationary Update (EU) From: 10/1/2013 To: 9/30/2015 B. Lesser of Variable Rate Base or Variable Cost Limit C. Economic Inflationary Update III. Quality Assurance Supplement (CAS) (Calculation for Informational Purposes only) A Lesser of Variable Rate Base or Variable Cost Limit B. Quality Assurance Adjustment Factor C. Quality Assurance Supplement 1.000778 119.574950 40.272843 159.847793 194.240000 159.847793 0.0% 159.847793 159.847793 21.76% 34.782879 XYZ NURSING HOME, INC. BUDGET SUMMARY 6/30/2012 DAILY PATIENTS 130 DEPARTMENTAL PAYROLL FULL TIME EQUIVALENT PAY PERIOD DESCRIPTION HOC SHIFT WEEK WEEK HOURS RATE DAY END DON N 1 1 80.00 38.00 MONTHLY COST COST PPD HOC 3,040.00 6,587 1.67 ADON Y 1 1 80.00 26.00 2.080.00 4,507 1.14 N 2 2 180.00 22.00 3.520.00 7.627 1.93 COMPUTER LPN RN OBRA N 1 1 2,080.00 4,507 1.14 80.00 26.00 864.00 26.00 RN Y 22.464.00 48,672 12.31 47 1 2 3 4 3 3 3 1 LPN Y 1,344.00 21.50 28,896.00 62,608 15.83 .74 1 2 3 5 4 3 CENA Y 4,816.00 13.00 62,608.00 135,651 34.31 2.65 1 2 3 18 15 10 18 15 10 WARD CLERKS N 1 2 160.00 14.00 2.240.00 4,853 123 N 1 5.5 1 456.00 15.00 6,840.00 14,820 3.75 N 1 25 200.00 18.50 3,700.00 8,017 2.03 N 1 25 200.00 18.75 3.750.00 8,125 2.05 N 1 3 1 272.00 24.00 14,144 3.58 ACTIVITIES MEDICAL RECORDS SOCIAL SERVICES MAINTENANCE HOUSEKEEPING LAUNDRY DIETARY OFFICE GRAND TOTALS 6,528.00 14,384.00 N 1 10 6 992.00 14.50 31,165 7.88 N 1 5 2 464.00 14.00 6,496.00 14,075 356 N 1 12 7 1,184.00 13.50 15,984.00 34.632 8.78 N 1 5 1 432.00 16.00 6,912.00 14,976 3.79 11,784 00 191,522.00 414.966 104.96 3.86 Date: Provider Name: Provider Number: F.Y.E.: Effective Date: 9/26/2014 ABC Nursing Home, Inc. 60-2166315 December 31 10/1/2014 Calculation of Variable Rate Base Total Beds LTC Beds 90 90 160.591481 119.481993 41.109488 0.344064 0.336800 A. Variable cost per day Filed Cost Report: 12/31/2013 B. Base cost per day C. Support cost per day D. Provider's support/base ratio E. Support/Base ratio limit per bed size group F. Cost Index (CI) From: 12/31/2013 To: 10/1/2014 G. Indexed base cost component (BCC) H. Indexed support cost component (SCC) 1. Variable rate base (VRB) J. Variable Cost Limit (VCL) As of: 10/1/2014 K. Lesser of Variable Rate Base or Variable Cost Limit II. A. Economic Inflationary Update (EU) From: 10/1/2013 To: 9/30/2015 B. Lesser of Variable Rate Base or Variable Cost Limit C. Economic Inflationary Update III. Quality Assurance Supplement (CAS) (Calculation for Informational Purposes only) A Lesser of Variable Rate Base or Variable Cost Limit B. Quality Assurance Adjustment Factor C. Quality Assurance Supplement 1.000778 119.574950 40.272843 159.847793 194.240000 159.847793 0.0% 159.847793 159.847793 21.76% 34.782879