Comprehensive Information on Antioch Nursing Homes
Report Card Number
Provider CCN
Facility Name
Street Address
City
State Code
Zip Code
County
Medicare CBSA Number
Rural versus Urban
Fiscal Year Begin Date
Fiscal Year End Date
Type of Control
Total Maternal and Child Health Days
Total Medicare Days
Total Medicaid Days
Total Days Other
Total Days Total
Number of Beds
Total Bed Days Available
Total Maternal and Child Health Discharges
Total Medicare Discharges
Total Medicaid Discharges
Total Discharges Title Other
Total Discharges Total
SNF Average Maternal and Child Health Stay
SNF Average Medicare Stay
SNF Average Medicaid Stay
SNF Average Length of Stay Total
SNF Maternal and Child Health Admissions
SNF Medicare Admissions
SNF Medicaid Admissions
SNF Admissions Other
SNF Admissions Total
SNF Maternal and Child Health Days
SNF Medicare Days
SNF Medicaid Days
SNF Days Other
SNF Days Total
SNF Number of Beds
SNF Bed Days Available
SNF Maternal and Child Health Discharges
SNF Medicare Discharges
SNF Medicaid Discharges
SNF Discharges Title Other
SNF Discharges Total
NF Number of Beds
NF Bed Days Available
NF Maternal and Child Health Days
NF Medicaid Days
NF Days Other
NF Days Total
NF Maternal and Child Health Discharges
NF Medicaid Discharges
NF Discharges Title Other
NF Discharges Total
NF Average Maternal and Child Health Stay
NF Average Medicaid Stay
NF Average Length of Stay Total
NF Maternal and Child Health Admissions
NF Medicaid Admissions
NF Admissions Other
NF Admissions Total
Total RUG Days
Total Salaries From Worksheet A
Overhead Non-Salary Costs
Total Charges
Total Costs
Wage-related Costs (core)
Total Salaries (adjusted)
Contract Labor
Cash on hand and in banks
Temporary Investments
Notes Receivable
Accounts Receivable
Less: Allowances for uncollectible notes and accounts receivable
Inventory
Prepaid expenses
Other current assets
Total Current Assets
Land
Land improvements
Buildings
Leasehold improvements
Fixed equipment
Major movable equipment
Minor equipment depreciable
Total fixed Assets
Investments
Other Assets
Total other Assets
Total Assets
Accounts payable
Salaries, wages, and fees payable
Payroll taxes payable
Notes and Loans Payable (short term)
Deferred income
Other current liabilities
Total current liabilities
Mortgage payable
Notes Payable
Unsecured Loans
Other long term liabilities
Total long term liabilities
Total liabilities
General fund balance
Total fund balances
Total Liabilities and fund balances
Total General Inpatient Care Services Revenue
Inpatient Revenue
Outpatient Revenue
Gross Revenue
Less Contractual Allowance and discounts on patients’ accounts
Net Patient Revenue
Less Total Operating Expense
Net Income from service to patients
Total Other Income
Total Income
Net Income
Inpatient PPS Amount
Nursing and Allied Health Education Activities
Allowable Bad Debts
1355449
56021
LONE TREE POST ACUTE
4001 LONE TREE WAY
ANTIOCH
CA
94509
CONTRA COSTA
36084
U
2022-01-01
2022-12-31
5
15147
12765
4933
32845
99
36135
334
9
183
526
45.35
1418.33
62.44
291
44
181
516
15147
12765
4933
32845
99
36135
334
9
183
526
7061590
9861014
3533017
3208025
956772
7061590
755860
1500
3145685
1065
14963
90429
10796080
87635
109896
131025
504000
508118
11435223
830317
276760
688
158243
724429
1990437
331833
331833
2322270
9112953
9112953
11435223
16562792
20095809
20095809
-3551074
23646883
16922604
6724279
52291
6776570
6776570
15541576
78809
1366081
56381
DELTA VIEW POST ACUTE
1210 A STREET
ANTIOCH
CA
94509
CONTRA COSTA
36084
U
2022-01-01
2022-12-31
5
7120
18975
4505
30600
99
36135
140
9
156
305
50.86
2108.33
100.33
120
41
134
295
7120
18975
4505
30600
99
36135
140
9
156
305
5941054
7994011
2639882
1902834
1030534
5941054
915801
900
1723935
94
14664
112646
3346817
90891
215943
568598
504000
506502
4421917
668362
260445
55
47522
682783
1659167
331833
331833
1991000
2430917
2430917
4421917
15626780
18266662
18266662
2669853
15596809
13935065
1661744
194261
1856005
1856005
6934473
8946