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    Source: CMS Government Data
    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 Days Title V
    Total Days Title XVIII
    Total Days Title XIX
    Total Days Other
    Total Days Total
    Number of Beds
    Total Bed Days Available
    Total Discharges Title V
    Total Discharges Title XVIII
    Total Discharges Title XIX
    Total Discharges Title Other
    Total Discharges Total
    SNF Avg Length Stay Title V
    SNF Avg Length Stay Title Xviii
    SNF Avg Length Stay Title Xix
    SNF Avg Length Stay Total
    SNF Admissions Title V
    SNF Admissions Title Xviii
    SNF Admissions Title Xix
    SNF Admissions Other
    SNF Admissions Total
    SNF Days Title V
    SNF Days Title Xviii
    SNF Days Title Xix
    SNF Days Other
    SNF Days Total
    SNF Number Of Beds
    SNF Bed Days Available
    SNF Discharges Title V
    SNF Discharges Title Xviii
    SNF Discharges Title Xix
    SNF Discharges Title Other
    SNF Discharges Total
    NF Number Of Beds
    NF Bed Days Available
    NF Days Title V
    NF Days Title Xix
    NF Days Other
    NF Days Total
    NF Discharges Title V
    NF Discharges Title Xix
    NF Discharges Title Other
    NF Discharges Total
    NF Avg Length Stay Title V
    NF Avg Length Stay Title Xix
    NF Avg Length Stay Total
    NF Admissions Title V
    NF Admissions Title Xix
    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
    Allowances For Uncollectible
    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 Fees Payable
    Payroll Taxes Payable
    Notes 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
    Contractual Allowance Discounts
    Net Patient Revenue
    Total Operating Expense
    Net Income From Service To Patients
    Total Other Income
    Total Income
    Net Income
    Inpatient Pps Amount
    Nursing Allied Health Education
    Allowable Bad Debts
    Owner Name
    Occupancy Percentage
    Medicare Total Days
    Medicaid Total Days
    Free Market Days
    Total Home Revenue
    Total Payroll Costs
    Total Home Costs
    1358844 165322 COTTAGE GROVE PLACE 2115 1ST AVE SE CEDAR RAPIDS IA 52402 LINN 16300 U 2022-01-01 2022-12-31 2 2818 13463 16281 64 23360 79 91 170 35.67 95.77 86 82 168 2818 13463 16281 64 23360 79 91 170 $5,359,030.00 $11,737,855.00 $1,417,884.00 $844,442.00 $825,569.00 $5,359,030.00 $1,405,784.00 $384,488.00 $488,793.00 $21,865.00 $57,187.00 $189,199.00 $2,288,369.00 $4,601,428.00 $4,766,749.00 $65,164,663.00 $5,115,046.00 $52,341,777.00 $2,923,556.00 $2,923,556.00 $57,553,702.00 $562,165.00 $397,484.00 $47.00 $1,499,051.00 $7,853,422.00 $588,930.00 $10,901,099.00 12953839.00 $25,470,107.00 $12,609,158.00 $51,033,104.00 $61,934,203.00 $-4,380,501.00 $-4,380,501.00 $57,553,702.00 $4,686,241.00 $13,487,813.00 $96,856.00 $13,584,669.00 $1,723,050.00 $11,861,619.00 $17,096,885.00 $-5,235,266.00 $4,857,739.00 $-377,527.00 $-377,527.00 $1,481,849.00 COTTAGE GROVE PLACE 70.31 2818 13463 $13,584,669.00 $5,359,030.00 $11,737,855.00
    1378983 165310 HERITAGE SPECIALTY CARE 200 CLIVE DRIVE SW CEDAR RAPIDS IA 52404 LINN 16300 U 2022-01-01 2022-12-31 2 4241 42258 8809 55308 201 73365 93 63 157 313 45.60 670.76 176.70 89 59 158 306 4241 42258 8809 55308 201 73365 93 63 157 313 $6,136,836.00 $9,530,648.00 $3,240,853.00 $1,328,056.00 $656,413.00 $6,136,836.00 $2,461,546.00 $5,786.00 $2,024,304.00 $525,683.00 $35,394.00 $27,354.00 $1,567,155.00 $276,770.00 $7,986,683.00 $2,335,770.00 $607,150.00 $-2,930.00 $-11,016,415.00 $-8,842,110.00 $167,730.00 $1,266,171.00 $1,433,901.00 $1,433,901.00 $-10,276,011.00 $-10,276,011.00 $-8,842,110.00 $18,416,313.00 $20,960,720.00 $20,960,720.00 $5,840,398.00 $15,120,322.00 $15,667,484.00 $-547,162.00 $85,835.00 $-461,327.00 $-574,382.00 $2,411,492.00 $299,701.00 BOUSEMAN, TIMOTHY 64.93 42258 4241 8809 $20,960,720.00 $6,136,836.00 $9,530,648.00
    1365964 165278 LIVING CENTER WEST 1010 – 4TH AVENUE SE CEDAR RAPIDS IA 52403 LINN 16300 U 2022-01-01 2022-12-31 2 810 21347 3412 25569 100 36500 12 31 33 76 67.50 688.61 336.43 26 2 49 77 810 21347 3412 25569 100 36500 12 31 33 76 $3,242,590.00 $2,942,653.00 $500,845.00 $226,358.00 $424,871.00 $3,242,590.00 $889,028.00 $2,619,176.00 $893,152.00 $63,820.00 $3,576,148.00 $288,951.00 $2,885,871.00 $1,579,571.00 $834,419.00 $4,410,567.00 $203,832.00 $215,353.00 $9,503.00 $2,806,998.00 $2,806,998.00 $1,603,569.00 $1,603,569.00 $4,410,567.00 $5,443,649.00 $5,944,494.00 $5,944,494.00 $416,339.00 $5,528,155.00 $6,185,243.00 $-657,088.00 $2,195.00 $-654,893.00 $-654,893.00 $428,398.00 $8,369.00 ST LUKES METHODIST HOSPITAL 86.38 21347 810 3412 $5,944,494.00 $3,242,590.00 $2,942,653.00
    1367310 165017 MANOR CARE OF CEDAR RAPIDS IA LLC 1940 1ST AVENUE N.E. CEDAR RAPIDS IA 52402 LINN 16300 U 2022-06-01 2023-03-31 2 1777 14088 7171 23036 105 31920 64 107 174 345 27.77 131.66 66.77 80 30 164 274 1777 14088 7171 23036 105 31920 64 107 174 345 $3,312,034.00 $3,594,437.00 $1,476,902.00 $800,383.00 $576,829.00 $3,312,034.00 $10,817.00 $-237,279.00 $1,072,359.00 $152,081.00 $987,161.00 $-41,533.00 $945,628.00 $136,221.00 $291,474.00 $11,983.00 $127,967.00 $567,645.00 $567,645.00 $377,983.00 $377,983.00 $945,628.00 $6,956,058.00 $8,432,960.00 $8,432,960.00 $1,502,243.00 $6,930,717.00 $6,906,471.00 $24,246.00 $94,903.00 $119,149.00 $118,902.00 $970,989.00 $69,883.00 LARSON, MELISSA 73.54 14088 1777 7171 $8,432,960.00 $3,312,034.00 $3,594,437.00
    1351959 165587 NORTHBROOK MANOR CARE CENTER 6420 COUNCIL ST NE CEDAR RAPIDS IA 52402 LINN 16300 U 2022-01-01 2022-12-31 6 372 10037 7555 17964 130 47450 10 21 75 106 37.20 477.95 169.47 23 27 75 125 372 10037 7555 17964 130 47450 10 21 75 106 $2,428,538.00 $1,799,593.00 $364,851.00 $153,756.00 $251,234.00 $2,428,538.00 $432,885.00 $-101,909.00 $240,100.00 $292,133.00 $2,200.00 $17,013.00 $162,879.00 $1,818,223.00 $70,179.00 $102,017.00 $775,913.00 $147,433.00 $2,400.00 $2,400.00 $1,968,056.00 $981,943.00 $75,945.00 $36,924.00 $138,714.00 $1,233,526.00 $654,107.00 $1,887,633.00 $80,423.00 $80,423.00 $1,968,056.00 $3,848,763.00 $4,213,614.00 $4,213,614.00 $299,750.00 $3,913,864.00 $4,228,131.00 $-314,267.00 $26,700.00 $-287,567.00 $-500,059.00 $196,222.00 $1,362.00 GLENN, DOVID 58.77 10037 372 7555 $4,213,614.00 $2,428,538.00 $1,799,593.00
    1365968 165389 ST LUKES TRANSITIONAL CARE CENTER 1420 UNITY POINT WAY NE CEDAR RAPIDS IA 52402 LINN 16300 U 2022-01-01 2022-12-31 2 5574 3993 9567 46 16790 499 61 560 11.17 17.08 555 17 572 5574 3993 9567 46 16790 499 61 560 $1,933,514.00 $4,176,963.00 $3,937,342.00 $1,487,538.00 $255,296.00 $1,933,514.00 $1,923,634.00 $344,790.00 $846,532.00 $10,656.00 $1,201,978.00 $12,112,003.00 $1,064,691.00 $11,712,041.00 $12,914,019.00 $301,789.00 $126,241.00 $5,381.00 $3,767.00 $11,080,478.00 $11,080,478.00 $1,833,541.00 $1,833,541.00 $12,914,019.00 $4,806,412.00 $8,743,754.00 $8,743,754.00 $4,022,898.00 $4,720,856.00 $6,110,477.00 $-1,389,621.00 $1,618.00 $-1,388,003.00 $-1,388,003.00 $3,075,512.00 $29,073.00 BARNHART, MIRANDA 66.74 5574 3993 $8,743,754.00 $1,933,514.00 $4,176,963.00
    1365588 165621 THE GARDENS OF CEDAR RAPIDS 5710 DEAN ROAD SW CEDAR RAPIDS IA 52404 LINN 16300 U 2022-01-01 2022-12-31 6 1930 11664 13594 40 14600 57 56 113 33.86 120.30 84 36 120 1930 11664 13594 40 14600 57 56 113 $2,776,143.00 $3,809,963.00 $1,014,897.00 $486,146.00 $266,574.00 $2,776,143.00 $679,449.00 $472,084.00 $1,369,545.00 $319,084.00 $71,652.00 $2,232,365.00 $37,848.00 $27,820.00 $2,260,185.00 $168,253.00 $188,882.00 $9,821.00 $44,112.00 $316,068.00 $316,068.00 $1,944,117.00 $1,944,117.00 $2,260,185.00 $6,900,683.00 $7,915,580.00 $7,915,580.00 $948,516.00 $6,967,064.00 $6,586,106.00 $380,958.00 $462,319.00 $843,277.00 $843,277.00 $1,019,618.00 $6,882.00 JBRB INVESTMENTS LLC 84.50 1930 11664 $7,915,580.00 $2,776,143.00 $3,809,963.00
    1368158 165542 THE METH-WICK COMMUNITY 1224 13TH STREET NW CEDAR RAPIDS IA 52405 LINN 16300 U 2022-04-01 2023-03-31 4 493 3773 18169 22435 69 25185 13 10 89 112 37.92 377.30 200.31 39 8 73 120 493 3773 18169 22435 69 25185 13 10 89 112 $7,673,218.00 $12,058,419.00 $502,462.00 $611,338.00 $1,317,230.00 $7,673,218.00 $1,147,316.00 $1,479,874.00 $373,950.00 $223,450.00 $2,000.00 $3,001,057.00 $2,015,387.00 $52,436,311.00 $22,446,629.00 $6,693,820.00 $21,689,702.00 $-278,913.00 $-278,913.00 $24,411,846.00 $635,295.00 $936,320.00 $1,783,610.00 $12,066,548.00 $323,072.00 $15,744,845.00 $-278,913.00 $15,465,932.00 $8,945,914.00 $8,945,914.00 $24,411,846.00 $8,708,669.00 $9,262,370.00 $8,885,069.00 $18,147,439.00 $847,196.00 $17,300,243.00 $19,731,637.00 $-2,431,394.00 $1,680,112.00 $-751,282.00 $-751,282.00 $260,742.00 METH WICK COMMUNITY 94.20 3773 493 18169 $18,147,439.00 $7,673,218.00 $12,058,419.00
    1357857 165567 WEST RIDGE CARE CENTER 3131 F AVENUE NW CEDAR RAPIDS IA 52405 LINN 16300 U 2022-01-01 2022-12-31 4 3780 2520 10183 16483 60 21900 118 4 137 259 32.03 630.00 63.64 116 3 141 260 3780 2520 10183 16483 60 21900 118 4 137 259 $2,918,345.00 $3,494,939.00 $2,584,253.00 $1,039,729.00 $550,612.00 $2,918,345.00 $915,482.00 $450,602.00 $48,000.00 $371,793.00 $643,745.00 $81,869.00 $53,555.00 $35,594.00 $1,521,420.00 $250,299.00 $50,117.00 $2,764,283.00 $477,054.00 $1,089,909.00 $1,035,579.00 $235,944.00 $235,944.00 $2,792,943.00 $191,356.00 $160,060.00 $64,893.00 $96,941.00 $513,250.00 2711000.00 $2,711,000.00 $3,224,250.00 $-431,307.00 $-431,307.00 $2,792,943.00 $5,690,495.00 $8,274,748.00 $8,274,748.00 $2,292,605.00 $5,982,143.00 $6,413,284.00 $-431,141.00 $87,157.00 $-343,984.00 $-369,754.00 $2,016,289.00 $49,989.00 SAMPLE, ELAINE 81.33 2520 3780 10183 $8,274,748.00 $2,918,345.00 $3,494,939.00