Comprehensive Information on Sioux City 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
1356699
165174
PREMIER ESTATES 510 LLC
2121 WEST 19TH ST
SIOUX CITY
IA
51103
WOODBURY
43580
U
2022-01-01
2022-12-31
6
1080
14652
3433
19165
71
25915
8
16
17
41
135
915.75
467.44
8
17
23
48
1080
14652
3433
19165
71
25915
8
16
17
41
2738535
2720299
566367
450794
178793
2738535
251649
700
669835
5767
8338
675747
43080
24998
59573
628241
628241
1363561
489998
450658
-1415
120114
700709
1875057
290654
290654
2165711
-802150
-802150
1363561
4670447
5236814
5236814
549333
4687481
5458834
-771353
33829
-737524
-737524
538902
83596
1362500
165473
SUNRISE RETIREMENT COMMUNITY
5501 GORDON DRIVE
SIOUX CITY
IA
51106
WOODBURY
43580
U
2022-01-01
2022-12-31
2
1317
8167
66264
75748
234
85410
26
8
83
117
50.65
1020.88
301.29
51
2
30
83
1317
8167
14318
23802
74
27010
26
8
45
79
6755244
7241110
427121
685144
1180925
6755244
655203
6184581
499111
153132
69701
82707
7587194
205322
423741
33445654
2158576
15701601
207091
207091
23495886
151143
238246
21065
989334
1399788
20500889
5405965
25906854
27306642
-3810756
-3810756
23495886
13199076
13199076
13199076
782220
12416856
13996354
-1579498
303972
-1275526
-1275526
652053
1167
1362668
165435
ACCURA HEALTHCARE OF SIOUX CITY LLC
3800 INDIAN HILLS DRIVE
SIOUX CITY
IA
51104
WOODBURY
43580
U
2022-01-01
2022-12-31
6
808
10043
2374
13225
46
16790
14
3
10
27
57.71
3347.67
489.81
16
18
15
49
808
10043
2374
13225
46
16790
14
3
10
27
2021180
1918707
664207
351792
277247
2021180
135758
15080
610154
-2960
47779
-458148
54015
111448
34252
41952
-416196
335280
76365
46282
89691
547618
547618
-963814
-963814
-416196
3160011
3819179
3819179
646892
3172287
3939887
-767600
61042
-706558
-706558
441888
42041
1365261
165540
COUNTRYSIDE HEALTH CARE CENTER
6120 MORNINGSIDE AVENUE
SIOUX CITY
IA
51106
WOODBURY
43580
U
2022-01-01
2022-12-31
5
1773
928
13873
16574
101
36865
36
9
64
109
49.25
103.11
152.06
57
2
53
112
1773
928
13873
16574
101
36865
36
9
64
109
3060501
3074808
2003342
476446
476669
3060501
510930
-220019
502896
9636
39576
185621
60668
19054
24555
93178
278799
489063
144807
286335
239472
2916963
2916963
-2638164
-2638164
278799
4835567
6838909
6838909
2601425
4237484
6135309
-1897825
16186
-1881639
-1881639
977374
13226
1377827
165271
WESTWOOD SPECIALTY CARE
3201 STONE PARK BOULEVARD
SIOUX CITY
IA
51104
WOODBURY
43580
U
2022-01-01
2022-12-31
2
2120
13693
12448
28261
85
31025
77
20
118
215
27.53
684.65
131.45
75
19
124
218
2120
13693
12448
28261
85
31025
77
20
118
215
3369869
4609222
1669077
666150
590007
3369869
1024277
6830
2166188
843691
13826
9102
1352255
523643
1281495
7428749
1660101
4146143
-26811
-2186004
3312394
75996
582786
658782
658782
2653612
2653612
3312394
8848368
10193245
10193245
2965094
7228151
7979091
-750940
50832
-700108
-991331
1184373
52503