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Calculation of Revenue Per Patient Day

Madison State Hospital
Calculation of Revenue Per Patient Day
Year Ending June 30, 2005

  Actual $ SF YTD Jun 05 $ Per Patient Day
Revenue:    
     
Patient Specific    
     
Medicare Part A 244,452.52  
Medicare Part B 23,966.17  
Inpatient Psychiatric Medicaid, Federal Share 884,857.94  
Inpatient Psychiatric Medicate, State Share 532,284.18  
ICF/MR Medicaid, Federal Share 2,737,765.43  
ICF/MR Medicaid, State Share 1,645,179.98  
Social Security 453,098.59  
Other TPL (Third Party Liability) Collections 150,023.97  
Self Pay 207,859.39  
     
Total Patient Specific 6,879,488.17 $138.93
     
Non-Patient Specific    
     
DSH - Federal Share 8,072,725.32  
DSH - State Share 4,158,676.68  
Federal Grant Receipts -  
Sale of Meals to Employees/Guests 4,578.00  
Medical Records Copy Income 33.00  
Lease Income -  
Miscellaneous Revenues 12,754.00  
     
Total Non-Patient Specific 12,267,480.30 247.75
     
Total Cash Revenue * 19,146,968.47 386.68
State General Funds 8,383,472.09 169.31
     
Total Revenue 27,530,440.56 555.99