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Calculation of Revenue Per Patient Day

Evansville State Hospital
Calculation of Revenue Per Patient Day
Twelve Months Ending June 30, 2005

  Actual $ SF YTD June 2005 $ Per Patient Day
Patient Specific Revenues:    
     
Medicare Part A -  
Medicare Part B 87,595  
Inpatient Psychiatric Medicaid, Federal Share 2,126,617  
Inpatient Psychiatric Medicaid, State  Share 1,378,720  
ICF/MR Medicaid, Federal Share 3,119,471  
ICF/MR Medicaid, State Share 1,876,093  
Social Security 517,766  
Other TPL (Third Party Liability) Collections -  
Self-Pay 194,715  
Subtotal Patient 9,300,978 156.91
     
Non-Patient Specific Revenues    
     
DSH - Federal Share 7,220,366  
DSH - State Share 3,719,583  
Federal Grant Receipts -  
Sale of Meals to Employees/Guests 18,099  
Medical Records Copy Income -  
Unrestricted Donations -  
Miscellaneous Revenues -  
Subtotal Non-Patient 10,958,048 184.87
     
Total Cash Revenue* 20,259,026 341.78
State General Funds 10,666,894 179.96
Total Revenue 30,925,920 521.74