Comprehensive Information on Phoenix 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
1339519
35175
MARAVILLA CARE CENTER
8825 S 7TH STREET
PHOENIX
AZ
85042
MARICOPA
38060
U
2022-01-01
2022-05-31
5
57
15079
3787
18923
194
29294
3
47
31
81
19
320.83
233.62
3
44
34
81
57
15079
3787
18923
194
29294
3
47
31
81
2115345
5075847
234102
232353
400577
2126338
2469582
125876
1126162
577227
167941
7614141
85589
887147
569652
141869
16968
16968
7772978
1040327
416086
152606
839685
2448704
2448704
5324274
5324274
7772978
6761363
6995465
6995465
207301
6788164
7191192
-403028
28675
-374353
-374353
32876
1352756
35176
BEATITUDES CAMPUS
1712 WEST GLENDALE AVE
PHOENIX
AZ
85021
MARICOPA
38060
U
2021-10-01
2022-09-30
1
1514
7299
40481
49294
201
73365
70
8
161
239
21.63
912.38
108.42
66
10
59
135
1514
7299
6800
15613
72
26280
70
8
66
144
13812527
25426085
769777
673862
2557860
13812527
3919426
7642682
52166
417102
407806
5208
12351419
2631969
290606
105676895
14566961
19342181
86127895
18999185
341578
19340763
117820077
15801060
1401773
7593
2579839
50538825
20139146
69837953
89977099
140515924
-22695847
-22695847
117820077
9446099
10215532
19264543
29480075
626182
28853893
39238612
-10384719
6873310
-3511409
-3511409
884974
1354687
35014
24TH STREET HEALTHCARE ASSOCIATES
2509 N 24TH ST
PHOENIX
AZ
85008-1805
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1501
22649
5593
29743
102
37230
66
458
302
826
22.74
49.45
36.01
70
464
312
846
1501
22649
5593
29743
102
37230
66
458
302
826
4476264
5614251
3414681
1717591
678329
4476264
882223
10323
2194392
226263
13000
16517192
18508644
367864
261479
770495
548375
7690819
7690819
26747838
263153
299323
58831
414629
1035936
7690819
7690819
8726755
18021083
18021083
26747838
6955853
10370533
10370533
-698698
11069231
10090515
978716
14325
993041
993041
948088
47938
1354692
35132
NORTH MOUNTAIN HEALTHCARE LLC
11411 N 19TH AVE
PHOENIX
AZ
85029-3699
MARICOPA
38060
U
2022-01-01
2022-12-31
4
6308
41913
13150
61371
189
68985
258
602
840
1700
24.45
69.62
36.1
291
597
820
1708
6308
41913
13150
61371
189
68985
258
602
840
1700
10359435
8714879
6686841
3167002
1569352
10359435
1202434
130149
3633608
354759
29175
42558493
45996666
26875
25052
1207064
546107
1188054
445808
2966919
2966919
49409393
355303
689674
111252
1155448
2311677
2966919
2966919
5278596
44130797
44130797
49409393
10452771
17139612
17139612
-7913112
25052724
19074314
5978410
23048
6001458
6001458
4394837
81610
1355416
35299
NORTH PARK HEALTH AND REHABILITATION
2020 N 95TH AVE
PHOENIX
AZ
85037
MARICOPA
38060
U
2022-01-01
2022-12-31
4
11227
6803
18030
54
19710
470
384
854
23.89
21.11
475
384
859
11227
6803
18030
54
19710
470
384
854
4148552
5274619
4175217
1703861
550078
4148552
1208631
1000
1577179
156389
48871
1470661
244746
182379
6480910
6703568
8356608
187959
273765
884805
1346529
221946
6036461
6258407
7604936
751672
751672
8356608
10211609
14386826
14386826
3758406
10628420
9423171
1205249
11746
1216995
1216995
7135079
69311
1358385
35062
SRCV HAVEN LLC
2645 E. THOMAS ROAD
PHOENIX
AZ
85016
MARICOPA
5
1361845
35175
DESERT PEAK CARE CENTER
8825 S 7TH STREET
PHOENIX
AZ
85042
MARICOPA
38060
U
2022-06-01
2022-12-31
6
84
23018
4505
27607
194
41516
84
23018
4505
27607
194
41516
2720002
6876341
138171
203783
335133
2720002
2596360
43196
8830908
27553
8901657
614
11931
96669
99283
41653
41653
9042593
3776099
322382
2802339
8024499
8024499
1018094
1018094
9042593
10573004
10711175
10711175
102648
10608527
9596343
1012184
5910
1018094
1018094
44700
1362870
35270
LA ESTANCIA NURSING & REHAB CENTER
15810 SOUTH 42ND STREET
PHOENIX
AZ
85048
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1863
24846
8488
35197
192
70080
74
151
331
556
25.18
164.54
63.3
81
114
379
574
1863
24846
8488
35197
192
70080
74
151
331
556
4608562
7384289
2037899
1431181
530072
4608562
2850
1916707
410065
24316
-55507
2235649
913
17790
17600
241106
180589
3283485
3298769
5715007
715554
180578
183682
14914
222813
1317541
7365910
7365910
8683451
-2968444
-2968444
5715007
9266618
11304517
11304517
429125
10875392
11992851
-1117459
8619
-1108840
-1108840
1208126
18413
1363171
35003
THE TERRACES OF PHOENIX
7550 N. 16TH STREET
PHOENIX
AZ
85020
MARICOPA
38060
U
2022-01-01
2022-12-31
2
5084
2505
111760
119349
498
181770
201
4
300
505
25.29
626.25
42.77
221
1
211
433
5084
2505
10460
18049
64
23360
201
4
217
422
8618379
18392250
1719869
1199887
1632565
8618379
1615092
945808
1160225
410830
40442
190054
2442060
160876
3019764
64505195
11866288
1859470
2775371
42945822
15458432
15458432
60846314
605436
485825
27472
55278676
3507120
59904529
512255
53046053
53558308
113462837
-52616523
-52616523
60846314
26328124
28047993
28047993
2563850
25484143
27010629
-1526486
2431007
904521
904521
2993527
1363372
35146
LCC – PARADISE VALLEY (AZ)
4065 EAST BELL ROAD
PHOENIX
AZ
85032
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1790
20208
8993
30991
210
76650
76
111
490
677
23.55
182.05
45.78
88
122
466
676
1790
20208
8993
30991
210
76650
76
111
490
677
6332514
7030278
3658598
1495426
855895
6332314
1243387
6393
1751444
317065
7191
2087544
6100
579878
65480
7233710
410209
410209
9731463
208945
418590
64376
270313
962224
16153807
16153807
17116031
-7384568
-7384568
9731463
7978440
11454120
11454120
1534436
9919684
13362792
-3443108
348148
-3094960
-3094960
1047959
31876
1363374
35302
DIAMONDBACK HEALTHCARE CENTER
3000 N 91ST AVE
PHOENIX
AZ
85037
MARICOPA
38060
2022-07-21
2022-12-31
6
1337
778
2115
94
15416
36
21
57
37.14
37.11
38
22
60
1337
778
2115
94
15416
36
21
57
2063751
2786152
285976
921799
110055
2063751
597860
159464
427633
59681
651603
11725
900280
1293104
2649909
13435
13435
3314947
1188453
172041
2500
1362994
-16080
-16080
1346914
1968033
1968033
3314947
221607
452985
452985
-677454
1130439
4849903
-3719464
2434
-3717030
-3717030
862735
1363868
35116
THE PALAZZO
6246 N 19TH AVENUE
PHOENIX
AZ
85015
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1133
11754
3396
16283
60
21900
57
51
126
234
19.88
230.47
69.59
71
27
139
237
1133
11754
3396
16283
60
21900
57
51
126
234
2781305
3903111
624368
431796
370497
2781305
762937
2141385
1383553
110791
130098
1761658
3093
1025698
721419
2483077
425766
482804
102822
1011392
7654429
8665821
-6182744
-6182744
2483077
3837148
4461516
4461516
4461516
6684416
-2222900
724165
-1498735
-2848744
688110
1363870
35293
WELLSPRINGS OF PHOENIX
3008 N. 3RD STREET
PHOENIX
AZ
85012
MARICOPA
38060
U
2022-01-01
2022-12-31
4
3798
79
6577
10454
46
16790
175
5
412
592
21.7
15.8
17.66
173
5
417
595
3798
79
6577
10454
46
16790
175
5
412
592
3007167
4838606
2316435
2145861
402717
3007167
-13323
1939118
39750
1965545
1965545
4006502
202490
4626059
4626059
-2660514
-2660514
1965545
5978053
8294488
8294488
3392985
4901503
7845773
-2944270
456050
-2488220
-2490528
2183710
1364560
35173
CHRISTIAN CARE NURSING CENTER
11812 NORTH 19TH AVENUE
PHOENIX
AZ
85029
MARICOPA
38060
U
2022-01-01
2022-12-31
1
860
12189
13049
68
24820
38
128
166
22.63
78.61
40
130
170
860
12189
13049
68
24820
38
128
166
1794475
3548347
236007
549454
392841
1794475
104817
1165402
189415
12222
21769
66256
1181051
28076
144347
3121340
506520
382951
947929
451640
451640
2580620
263225
39247
73168
14620
45223
435483
730615
724295
2175703
679704
4310317
4745800
-2165180
-2165180
2580620
3463508
3699514
3699514
210150
3489364
5342822
-1853458
591134
-1262324
-1262324
560452
1365018
35290
ALLEGIANT HEALTHCARE OF PHOENIX
1880 EAST VAN BUREN STREET
PHOENIX
AZ
85006-3742
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1371
16150
4853
22374
120
43800
63
173
346
582
21.76
93.35
38.44
60
44
316
420
1371
16150
4853
22374
120
43800
63
173
346
582
7968881
7255335
1324187
3604977
1114755
7968881
38855
125185
1781225
5774
26632
1807857
289332
1775781
613298
616401
3294812
154993
-49197
3245615
-1437758
-1437758
1807857
8730212
10054399
10054399
223795
9830604
15224216
-5393612
857719
-4535893
-4577798
1043847
1365305
35088
HIGHLAND HEALTHCARE LLC
4635 N 14TH ST
PHOENIX
AZ
85014-4016
MARICOPA
38060
U
2022-01-01
2022-12-31
4
2864
18808
7764
29436
102
37230
129
369
501
999
22.2
50.97
29.47
154
370
481
1005
2864
18808
7764
29436
102
37230
129
369
501
999
5438199
5349043
4962042
2334386
751474
5438199
499340
12754
1839521
172657
9006
12014850
13703474
41044
290288
191527
659817
552932
4099479
4099479
18355885
342586
203574
59935
496753
1102848
4099479
4099479
5202327
13153558
13153558
18355885
6147175
11109219
11109219
-1317940
12427159
10787242
1639917
13013
1652930
1652930
1905050
17169
1365306
35205
SUNCREST HEALTHCARE INC
22111 EAST SOUTHERN AVENUE
PHOENIX
AZ
85040-3408
MARICOPA
1
1365404
35087
RADIANT HILLS HEALTH ASSOCIATES LLC
9155 N 3RD ST
PHOENIX
AZ
85020-2410
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1411
42727
7831
51969
161
58765
28
154
125
307
50.39
277.45
169.28
31
163
124
318
1411
42727
7831
51969
161
58765
28
154
125
307
19281134
22689160
20889322
15595313
2623652
19281134
619847
41869
6753734
445555
118937
61151063
67620048
225415
5799204
795191
4574914
5338610
30688579
30688579
103647237
1728678
1156191
212905
912299
4010073
30688579
30688579
34698652
68948585
68948585
103647237
30612891
51502215
51502215
1902386
49599829
41970294
7629535
78472
7708007
7708007
1265888
14655
1365950
35241
AZTEC HEALTHCARE INC.
8008 SOUTH JESSE OWENS PARKWAY
PHOENIX
AZ
85042
MARICOPA
38060
U
2022-01-01
2022-12-31
4
3011
21603
11614
36228
124
45260
109
325
567
1001
27.62
66.47
36.19
121
318
572
1011
3011
21603
11614
36228
124
45260
109
325
567
1001
7038932
6375560
4908094
3285901
984873
7038932
136428
4822
2414801
170695
12310
8888010
11149248
20295
431762
260376
1795702
1832609
8016811
8016811
20998668
237061
389910
70456
650321
1347748
8020130
8020130
9367878
11630790
11630790
20998668
7068680
11976775
11976775
-4231768
16208543
13414492
2794051
32827
2826878
2826878
2108763
62115
1366046
35072
LOOKOUT MOUTAIN HEALTHCARE LLC
13232 N. TATUM BLVD.
PHOENIX
AZ
85032
MARICOPA
38060
U
2022-01-01
2022-12-31
4
3042
30351
9414
42807
130
47450
140
182
489
811
21.73
166.76
52.78
157
172
466
795
3042
30351
9414
42807
130
47450
140
182
489
811
6936907
6203713
3360134
1742569
1018585
6936907
387077
171113
1583233
102734
12740
5810133
7474485
64145
677520
387228
7861713
208857
257478
73803
452887
993025
-29073
-29073
963952
6897761
6897761
7861713
10553508
13913642
13913642
-1478117
15391759
13140620
2251139
13738
2264877
2267421
1983868
7130
1366241
35247
MARYLAND GARDENS CARE CENTER
31 WEST MARYLAND AVENUE
PHOENIX
AZ
85013
MARICOPA
38060
U
2022-01-01
2022-12-31
4
259
12383
15041
27683
100
36500
4
48
43
95
64.75
257.98
159.07
5
33
53
91
259
12383
2470
15112
100
36500
4
48
43
95
2715953
5520213
414089
339765
383976
2715953
868299
-19432
913975
86560
40276
3671619
4917243
813467
224337
694632
5611875
578672
96841
181727
857240
857240
4754635
4754635
5611875
7182856
7593528
7593528
-135702
7729230
8236166
-506936
1333339
826403
826403
147040
1366652
35125
RIDGECREST HEALTHCARE
16640 NORTH 38TH STREET
PHOENIX
AZ
85032
MARICOPA
38060
U
2022-01-01
2022-12-31
4
1847
30454
10070
42371
200
73000
66
55
157
278
27.98
553.71
152.41
81
43
160
284
1847
30454
10070
42371
200
73000
66
55
157
278
7041405
10573531
2645402
1376910
1181467
7041405
2154846
-42109
2259424
266932
71294
3804192
6602452
760495
323703
497343
7099795
1680732
367460
425986
2474178
1454
1454
2475632
4624163
4624163
7099795
12328589
14883489
14883489
-2121345
17004834
17614936
-610102
1702989
1092887
1092887
1138331
1461
1375244
35107
HAVEN OF PHOENIX
4202 N 20TH AVE
PHOENIX
AZ
85015
MARICOPA
38060
U
2022-01-01
2022-12-31
4
4084
23679
8128
35891
114
41610
154
70
689
913
26.52
338.27
39.31
174
28
712
914
4084
23679
8128
35891
114
41610
154
70
689
913
4940566
7463684
5118996
2091374
595629
4940566
1266703
47018
1897659
170628
7002
1586
1782637
436452
331109
415877
10956325
10956325
13154839
346487
270062
51517
1291368
1959434
58730
7566382
7625112
9584546
3570293
3570293
13154839
15269463
20383751
20383751
7459644
12924107
12404250
519857
167318
687175
687175
2548988
61591
1386895
35279
ACACIA HEALTH CENTER AT SAGEWOOD
4555 EAST MAYO BOULEVARD
PHOENIX
AZ
85050
MARICOPA
38060
U
2022-01-01
2022-12-31
6
11123
34581
45704
154
56210
446
139
585
24.94
37.17
464
141
605
11123
10587
21710
78
28470
446
138
584
15617994
43546244
5117491
2884892
2200885
15617994
1112111
6122863
1249535
26410
275246
681417
10691508
18994159
29341058
26793790
287046392
12525267
12676335
20935146
280979750
13791016
13791016
313764925
2286406
872475
94
6399649
9558624
265323983
191460574
456784557
466343181
-152578256
-152578256
313764925
15076529
51361205
51361205
6618276
44742929
59164238
-14421309
4327960
-10093349
-10093349
6771423
15261