Comprehensive Information on Peoria 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
1334336
145039
GENERATIONS AT PEORIA LLC
5600 GLEN ELM DRIVE
PEORIA
IL
61614
PEORIA
37900
U
2022-01-01
2022-01-31
6
563
1646
880
3089
144
4464
6
16
11
33
93.83
102.88
93.61
11
16
14
41
563
1646
880
3089
144
4464
6
16
11
33
396630
494540
325055
157970
54585
396630
81240
1000
1534556
59229
30165
1506492
46977
114325
152055
29400
41977
1700524
922718
134883
48002
81236
77
1186916
707376
707376
1894292
-193768
-193768
1700524
821606
1146661
1146661
77857
1068804
891170
177634
177634
177634
372946
3168
1355169
145768
LUTHERAN HILLSIDE VILLAGE PEORIA
6901 NORTH GALENA ROAD
PEORIA
IL
61614
PEORIA
37900
U
2022-01-01
2022-12-31
2
3307
1735
19678
24720
107
39055
83
2
30
115
39.84
867.5
214.96
111
45
156
3307
1735
19678
24720
107
39055
83
2
30
115
9149093
16068371
1217489
985629
1200136
9149093
1793554
7112353
674718
70800
62313
111165
5078
7894827
369068
3701373
94663851
4770563
544631
47878089
55772916
145239
540138
13760
1105935
2095010
356010
54864713
32217058
32217058
87081771
-31308855
-31308855
55772916
8968948
10186437
10186437
767519
9418918
25217464
-15798546
15049444
-749102
-752232
1699303
1355802
145039
ACCOLADE HEALTHCARE OF PEORIA
5600 N GLEN ELM DRIVE
PEORIA
IL
61614
PEORIA
37900
U
2022-02-01
2022-12-31
6
2685
26626
7479
36790
144
48096
101
26
216
343
26.58
1024.08
107.26
135
18
206
359
2685
26626
7479
36790
144
48096
101
26
216
343
5281231
5683795
3687634
1380591
657382
5281231
800858
10352
1640184
150000
33809
46462
1653978
116485
72883
164321
5210818
5210818
7029117
747958
279075
54253
648958
262203
2209829
3520570
3520570
5730399
1298718
1298718
7029117
11513089
15179423
15179423
3442285
11737138
10965026
772112
353020
1125132
1125132
1646418
74549
1357060
145933
APOSTOLIC CHRISTIAN SKYLINES
7023 SE SKYLINES DRIVE
PEORIA
IL
61614
PEORIA
37900
U
2022-01-01
2022-12-31
1
1030
2150
18714
21894
62
22630
19
1
14
34
54.21
2150
643.94
31
23
54
1030
2150
18714
21894
62
22630
19
1
14
34
5049331
4327304
397413
577731
1177160
5049331
212015
1089501
77354
1826372
64414
67757
3125398
113189
16076867
2572176
10420383
13545781
756078
74455
2543
359057
1192133
2107646
2107646
3299779
10246002
10246002
13545781
8293662
8691075
8691075
122394
8568681
10198647
-1629966
1590410
-39556
-39556
506481
1364257
145647
RIVER CROSSING OF PEORIA
1500 W. NORTHMOOR ROAD
PEORIA
IL
61614
PEORIA
37900
U
2022-04-01
2023-03-31
2
2074
22532
7541
32147
120
43800
69
61
132
262
30.06
369.38
122.7
101
47
133
281
2074
22532
7541
32147
120
43800
69
61
132
262
3980216
6383253
1754671
711882
525502
3980216
1641906
-268542
859922
177172
12868
14190
428691
2721
912709
912709
1344121
525453
208426
13828
53019
675326
1476052
642790
642790
2118842
-774721
-774721
1344121
7092019
8846690
8846690
-80241
8926931
10363469
-1436538
390028
-1046510
-1046510
1269627
76887
1376773
146098
SHARON HEALTH CARE ELMS
3611 NORTH ROCHELLE
PEORIA
IL
61604
PEORIA
37900
U
2022-01-01
2022-12-31
6
4115
1703
19798
25616
98
35770
45
5
81
131
91.44
340.6
195.54
68
2
27
97
4115
1703
19798
25616
98
35770
45
5
81
131
3070766
4450502
708985
613507
473385
3070766
1402545
2309725
1055542
255071
86315
81235
3277746
895625
704133
167270
3445016
458971
197677
5946
413550
1076144
1076144
2368872
2368872
3445016
6009310
6718295
6718295
-112542
6830837
7521268
-690431
415070
-275361
-275361
2335376
418422
1380638
146108
MANOR COURT OF PEORIA
6900 STALWORTH DRIVE
PEORIA
IL
61615
PEORIA
37900
U
2022-04-01
2023-03-31
2
1880
3851
6302
12033
50
18250
72
27
103
202
26.11
142.63
59.57
91
18
99
208
1880
3851
6302
12033
50
18250
72
27
103
202
1990115
3228147
346091
554561
291544
1990115
56106
295721
22000
2650
370379
239574
159428
133064
503443
123914
35955
107644
1290164
1290164
-786721
-786721
503443
3452805
3798896
3798896
177172
3621724
5218262
-1596538
188088
-1408450
-1408450
920546
31504
