Residency & Care Agreement Sample Contracts

Loomis Village RESIDENCY & CARE AGREEMENT for
Residency & Care Agreement • May 2nd, 2016
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RESIDENCY & CARE AGREEMENT
Residency & Care Agreement • June 28th, 2016

Actual Month——————— Budget Month—————— Variance Actual Budget Variance Year To Date Year To Date—————————— ———————————— ———————————— ————————— Operating Revenue Resident Service Fees 508,672 508,798 (127) 4,604,831 4,579,185 25,646 Entrance Fee Amortization 25,686 38,899 (13,213) 319,382 350,094 (30,712) Home Care 19,562 29,183 (9,621) 180,949 262,646 (81,697) Guest Meals 3,883 4,617 (735) 42,659 41,555 1,105 Employee Meals 1,546 1,438 108 13,041 12,938 103 Transportation 1,281 1,450 (169) 11,074 13,050 (1,976) Guest Rooms 800 1,358 (558) 11,739 12,220 (481) Village Store 199 261 (61) 2,238 2,347 (110) Other Resident Services 3,150 2,917 233 28,553 26,252 2,301 Rental Income 1,225 1,250 (25) 11,025 11,250 (225) Wait List Income 129 33 95 529 300 229 Internal Move Fee 0 0 0 10,710 0 10,710 ———————————— ———————————— ———————————— ———————————— ———————————— ———————————— Total Operating Revenue 566,131 590,204 (24,073) 5,236,730 5,311,837 (75,108) ———————————— ————————————

RESIDENCY & CARE AGREEMENT
Residency & Care Agreement • June 28th, 2016

Gain or Loss on Gift Annuity 0 0 0 0 0 0 Gain(Loss) on Investments 3,714 0 3,714 12,076 0 12,076 Gain(Loss) Equipment Disposal 0 0 0 11,519 0 11,519 Unrealized Gain (Loss) Investments (71,327) 0 (71,327) (171,148) 0 (171,148) Investment Fees (7) (676) 669 (8,436) (6,083) (2,352)

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