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Nursing-home finance report details census, reimbursement fluctuations and a $685,574 audit adjustment
Summary
Committee received the nursing homes June finance report, including room rates, census figures, reimbursement variability for Medicare/Medicaid and a $685,574 audit adjustment recorded by outside auditors.
The LaSalle County Nursing Home NVAC committee reviewed the facilitys June financial report on July 14 and heard staff describe fluctuating monthly revenue streams, current room rates and an auditor adjustment described in the audit correspondence. Kathy Bridal, committee chairman, summarized the finance report: private-room daily rate $242, expanded care $238 and semi-private $230. Earlier in the meeting staff reported a census of 62 residents; in the admissions section staff later listed the current census as 61 with five new admissions and four discharges in the prior month. Staff explained reimbursement variability: Medicare Part A covers skilled-stay residents who qualify after a hospital stay, Medicare Part B covers therapy for non-skilled stays, and MMAI (Medicare-Medicaid alignment) and other managed-care plans reimburse room and board. QIP (quality incentive payments) vary monthly and are tied to Medicaid assessments and annual cost reports; provider participation fees are a monthly Medicaid bed tax based on census. The committee discussed an accounting adjustment described by the facility: "In the month of April, our outstanding auditing company, Mac and Associates, made a transfer of $685,574 from our account as an adjustment," Bridal said, adding the auditors noted the amount had been previously credited on 11/30/2023 and then backdated as a correction to 12/01/2024. Committee members asked for the bar charts and backup detail; Bridal said she had circulated multi-year charts covering 2017'024 for review. Committee members also raised the timing of tax-levy receipts. Doug Stackley asked about the tax levy amount; staff indicated a tax-levy figure of roughly $1,000,757.05 had been cited and that levy disbursements typically do not arrive until July. Stackley also noted continuing monthly deficits and said he calculated a deficit of $161,030 for the month under review. Staff invited committee members to contact the DON or finance officer with follow-up questions and said the finance officer could provide deeper explanations of QIP and provider participation fee calculations.
