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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356096 | 105002 | BEACH STREET HEALTH & REHABILITAION | 1001 S BEACH ST | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2022-01-01 | 2022-12-31 | 6 | 3026 | 20764 | 7036 | 30826 | 99 | 36135 | 42 | 189 | 274 | 505 | 72.05 | 109.86 | 61.04 | 99 | 126 | 293 | 518 | 3026 | 20764 | 7036 | 30826 | 99 | 36135 | 42 | 189 | 274 | 505 | $2,807,874.00 | $7,696,558.00 | $1,461,155.00 | $1,167,832.00 | $300,430.00 | $2,807,874.00 | $2,446,667.00 | $17,519.00 | $2,294,602.00 | $25,868.00 | $30,848.00 | $2,444,784.00 | $283,961.00 | $251,077.00 | $413,411.00 | $242,450.00 | $268,151.00 | $3,126,346.00 | $6,013,539.00 | $8,071.00 | $43,256.00 | $6,064,866.00 | $6,064,866.00 | $-2,938,520.00 | $-2,938,520.00 | $3,126,346.00 | $8,251,739.00 | $9,712,894.00 | $9,712,894.00 | $1,019,852.00 | $8,693,042.00 | $10,504,432.00 | $-1,811,390.00 | $108,461.00 | $-1,702,929.00 | $-1,702,929.00 | $1,744,210.00 | $264,557.00 | HYMAN, SIMCHA | 90.61 | 20764 | 3026 | 7036 | $9,712,894.00 | $2,807,874.00 | $7,696,558.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1358591 | 105580 | CARLTON SHORES HEALTHCARE & REHAB | 1350 SOUTH NOVA ROAD | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2022-07-27 | 2022-12-31 | 4 | 2759 | 7477 | 1229 | 11465 | 118 | 18644 | 75 | 67 | 84 | 226 | 36.79 | 111.60 | 50.73 | 81 | 18 | 68 | 167 | 2759 | 7477 | 1229 | 11465 | 118 | 18644 | 75 | 67 | 84 | 226 | $1,749,001.00 | $2,683,965.00 | $986,082.00 | $565,063.00 | $216,260.00 | $1,749,001.00 | $153,963.00 | $266,874.00 | $782,003.00 | $53,024.00 | $33,223.00 | $52,263.00 | $2,190.00 | $76,502.00 | $21,220.00 | $107,996.00 | $22,999.00 | $22,999.00 | $183,258.00 | $528,828.00 | $130,320.00 | $-124,751.00 | $534,397.00 | $234,038.00 | $234,038.00 | $768,435.00 | $-585,177.00 | $-585,177.00 | $183,258.00 | $4,263,805.00 | $5,233,407.00 | $5,233,407.00 | $1,387,729.00 | $3,845,678.00 | $4,432,966.00 | $-587,288.00 | $908.00 | $-586,380.00 | $-586,380.00 | $1,521,222.00 | $117,558.00 | CARLTON SHORES SNF HOLDCO LLC | 25.34 | 7477 | 2759 | 1229 | $5,233,407.00 | $1,749,001.00 | $2,683,965.00 | |||||||||||||||||||||||||||||||||||||||||
| 1353361 | 105565 | COASTAL HEALTH AND REHABILITATION CE | 820 N. CLYDE MORRIS BLVD. | DAYTONA BEACH | FL | 32117 | VOLUSIA | 19660 | U | 2022-01-01 | 2022-12-31 | 4 | 2903 | 28733 | 5131 | 36767 | 120 | 43800 | 82 | 116 | 125 | 323 | 35.40 | 247.70 | 113.83 | 138 | 55 | 163 | 356 | 2903 | 28733 | 5131 | 36767 | 120 | 43800 | 82 | 116 | 125 | 323 | $4,750,760.00 | $7,214,096.00 | $1,198,974.00 | $952,273.00 | $882,380.00 | $4,750,760.00 | $987,425.00 | $-191,758.00 | $1,629,428.00 | $194,582.00 | $97,691.00 | $66,148.00 | $2,861,603.00 | $40,440.00 | $280,972.00 | $201,911.00 | $3,063,514.00 | $2,057,452.00 | $149,042.00 | $265,321.00 | $2,350,656.00 | $855,588.00 | $855,588.00 | $3,206,244.00 | $-142,730.00 | $-142,730.00 | $3,063,514.00 | $10,245,678.00 | $11,444,653.00 | $11,444,653.00 | $726,612.00 | $10,718,041.00 | $11,964,856.00 | $-1,246,815.00 | $1,604,853.00 | $358,038.00 | $358,038.00 | $1,702,567.00 | $241,145.00 | COASTAL CENTER OPERATIONS HOLDINGS LLC | 91.42 | 28733 | 2903 | 5131 | $11,444,653.00 | $4,750,760.00 | $7,214,096.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1368913 | 105311 | DAYTONA BEACH HEALTH & REHAB CTR | 1055 3RD STREET | DAYTONA BEACH | FL | 32117 | VOLUSIA | 19660 | U | 2022-06-01 | 2023-05-31 | 4 | 4264 | 35974 | 10185 | 50423 | 180 | 65700 | 62 | 115 | 215 | 392 | 68.77 | 312.82 | 128.63 | 100 | 62 | 230 | 392 | 4264 | 35974 | 10185 | 50423 | 180 | 65700 | 62 | 115 | 215 | 392 | $7,717,477.00 | $9,329,732.00 | $1,357,325.00 | $1,686,441.00 | $1,974,510.00 | $7,717,477.00 | $-2,795,209.00 | $-2,795,209.00 | $-2,795,209.00 | $13,418,644.00 | $14,772,982.00 | $14,772,982.00 | $600,078.00 | $14,172,904.00 | $17,047,209.00 | $-2,874,305.00 | $79,096.00 | $-2,795,209.00 | $-2,795,209.00 | $2,053,001.00 | $418,725.00 | MATHES, LORETTA | 79.11 | 35974 | 4264 | 10185 | $14,772,982.00 | $7,717,477.00 | $9,329,732.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1371431 | 105840 | EMORY L. BENNETT STATE VETERANS NH | 1920 MASON AVENUE | DAYTONA BEACH | FL | 32117 | VOLUSIA | 19660 | U | 2022-07-01 | 2023-06-30 | 10 | 1103 | 9350 | 23292 | 33745 | 120 | 43800 | 23 | 4 | 192 | 219 | 47.96 | 2337.50 | 154.09 | 49 | 18 | 175 | 242 | 1103 | 9350 | 23292 | 33745 | 120 | 43800 | 23 | 4 | 192 | 219 | $4,699,378.00 | $7,560,176.00 | $1,969,042.00 | $1,527,369.00 | $2,349,948.00 | $4,699,378.00 | $2,481,219.00 | $9,256,568.00 | $1,330,832.00 | $10,587,400.00 | $8,178,800.00 | $1,385,697.00 | $1,590,475.00 | $406,951.00 | $10,994,351.00 | $864,411.00 | $156,427.00 | $1,020,838.00 | $1,020,838.00 | $9,973,513.00 | $9,973,513.00 | $10,994,351.00 | $12,816,238.00 | $14,785,281.00 | $14,785,281.00 | $772,273.00 | $14,013,008.00 | $12,259,554.00 | $1,753,454.00 | $367,116.00 | $2,120,570.00 | $2,120,570.00 | $545,347.00 | $28,936.00 | FLORIDA DEPARTMENT OF VETERANS AFFAIRS | 96.17 | 9350 | 1103 | 23292 | $14,785,281.00 | $4,699,378.00 | $7,560,176.00 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 1375326 | 105570 | INDIGO MANOR | 595 WILLIAMSON BLVD | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2021-11-01 | 2022-12-31 | 4 | 8258 | 26508 | 25570 | 60336 | 173 | 73698 | 207 | 136 | 603 | 946 | 39.89 | 194.91 | 63.78 | 287 | 89 | 659 | 1035 | 8258 | 26508 | 25570 | 60336 | 173 | 73698 | 207 | 136 | 603 | 946 | $10,311,090.00 | $10,139,235.00 | $3,316,225.00 | $2,821,845.00 | $1,256,465.00 | $10,311,090.00 | $249,155.00 | $147,252.00 | $3,583,997.00 | $474,718.00 | $-33,017.00 | $4,172,950.00 | $92,279.00 | $259,191.00 | $308,394.00 | $125,000.00 | $151,189.00 | $4,632,533.00 | $2,760,478.00 | $488,427.00 | $407,212.00 | $4,352,024.00 | $4,352,024.00 | $280,509.00 | $280,509.00 | $4,632,533.00 | $19,775,007.00 | $23,091,233.00 | $23,091,233.00 | $2,370,168.00 | $20,721,065.00 | $20,450,325.00 | $270,740.00 | $9,772.00 | $280,512.00 | $280,512.00 | $4,690,996.00 | $304,143.00 | BEDROCK AT DAYTONA HOLDING, LLC | 84.10 | 26508 | 8258 | 25570 | $23,091,233.00 | $10,311,090.00 | $10,139,235.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1359411 | 105651 | OLDS HALL GOOD SAMARITAN | 327 ORANGE AVENUE | DAYTONA BEACH | FL | 32114-4220 | VOLUSIA | 19660 | U | 2022-01-01 | 2022-12-31 | 1 | 231 | 15678 | 4548 | 20457 | 100 | 36500 | 6 | 122 | 19 | 147 | 38.50 | 128.51 | 139.16 | 7 | 111 | 30 | 148 | 231 | 15678 | 4548 | 20457 | 100 | 36500 | 6 | 122 | 19 | 147 | $3,164,420.00 | $5,233,959.00 | $870,179.00 | $300,599.00 | $680,575.00 | $3,164,420.00 | $884,009.00 | $84,455.00 | $755,671.00 | $152,632.00 | $46,715.00 | $853,394.00 | $353,075.00 | $231,903.00 | $5,892,081.00 | $595,691.00 | $987,365.00 | $2,314,702.00 | $3,168,096.00 | $61,581.00 | $49,477.00 | $111,058.00 | $111,058.00 | $3,057,038.00 | $3,057,038.00 | $3,168,096.00 | $6,559,811.00 | $7,429,989.00 | $7,429,989.00 | $1,849,072.00 | $5,580,917.00 | $8,398,379.00 | $-2,817,462.00 | $255,067.00 | $-2,562,395.00 | $-2,562,395.00 | $125,046.00 | $21,271.00 | DAYTONA FL HOLDINGS COMPANY LLC | 85.10 | 15678 | 231 | 4548 | $7,429,989.00 | $3,164,420.00 | $5,233,959.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1356097 | 105052 | SEASIDE HEALTH AND REHABILITATION CE | 324 WILDER BOULEVARD | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2022-01-01 | 2022-12-31 | 4 | 1678 | 40967 | 3189 | 45834 | 192 | 70080 | 23 | 225 | 21 | 269 | 72.96 | 182.08 | 170.39 | 46 | 147 | 24 | 217 | 1678 | 40967 | 3189 | 45834 | 192 | 70080 | 23 | 225 | 21 | 269 | $5,325,061.00 | $9,563,015.00 | $487,869.00 | $809,316.00 | $1,088,581.00 | $5,325,061.00 | $1,824,425.00 | $-188,697.00 | $1,606,109.00 | $149,726.00 | $161,213.00 | $91,520.00 | $3,081,170.00 | $66,917.00 | $233,229.00 | $512,172.00 | $3,593,342.00 | $2,691,955.00 | $184,302.00 | $414,575.00 | $3,432,956.00 | $1,157,054.00 | $1,157,054.00 | $4,590,010.00 | $-996,668.00 | $-996,668.00 | $3,593,342.00 | $11,565,920.00 | $12,053,788.00 | $12,053,788.00 | $250,257.00 | $11,803,531.00 | $14,888,076.00 | $-3,084,545.00 | $2,612,407.00 | $-472,138.00 | $-472,138.00 | $894,879.00 | $71,817.00 | SEASIDE CENTER OPERATIONS HOLDINGS LLC | 39.32 | 40967 | 1678 | 3189 | $12,053,788.00 | $5,325,061.00 | $9,563,015.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1349602 | 105915 | SOLARIS HEALTHCARE DAYTONA | 550 NATIONAL HEALTHCARE DR | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2022-01-01 | 2022-12-31 | 2 | 11745 | 7323 | 4961 | 24029 | 73 | 26645 | 398 | 24 | 111 | 533 | 29.51 | 305.13 | 45.08 | 407 | 26 | 111 | 544 | 11745 | 7323 | 4961 | 24029 | 73 | 26645 | 398 | 24 | 111 | 533 | $3,911,646.00 | $5,611,467.00 | $4,142,981.00 | $1,787,643.00 | $610,206.00 | $3,911,646.00 | $-52,847.00 | $1,106,242.00 | $125,000.00 | $6,753.00 | $807,026.00 | $278,214.00 | $69,399.00 | $217,346.00 | $2,508,245.00 | $3,532,617.00 | $819,620.00 | $115,632.00 | $4,689.00 | $37,818.00 | $977,759.00 | $977,759.00 | $2,554,858.00 | $2,554,858.00 | $3,532,617.00 | $6,524,678.00 | $10,667,562.00 | $10,667,562.00 | $887,679.00 | $9,779,883.00 | $9,523,113.00 | $256,770.00 | $62,464.00 | $319,234.00 | $319,234.00 | $7,357,628.00 | $158,620.00 | DAYTONA HEALTHCARE HOLDINGS, LLC | 94.38 | 7323 | 11745 | 4961 | $10,667,562.00 | $3,911,646.00 | $5,611,467.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1365900 | 105822 | THE GARDENS HEALTH & REHAB | 1704 HUNTINGTON VILLAGE CIRCLE | DAYTONA BEACH | FL | 32114 | VOLUSIA | 19660 | U | 2022-07-27 | 2023-04-30 | 4 | 7068 | 17606 | 4858 | 29532 | 108 | 30024 | 211 | 56 | 181 | 448 | 33.50 | 314.39 | 65.92 | 231 | 15 | 203 | 449 | 7068 | 17606 | 4858 | 29532 | 108 | 30024 | 211 | 56 | 181 | 448 | $4,124,437.00 | $5,741,915.00 | $3,822,776.00 | $1,657,504.00 | $507,824.00 | $4,124,437.00 | $512,202.00 | $427,340.00 | $2,429,818.00 | $144,304.00 | $221,159.00 | $2,846,150.00 | $58,000.00 | $19,117.00 | $71,114.00 | $23,030.00 | $169,613.00 | $42,260.00 | $42,260.00 | $3,058,023.00 | $1,399,011.00 | $246,141.00 | $212,574.00 | $1,857,726.00 | $314,045.00 | $314,045.00 | $2,171,771.00 | $886,252.00 | $886,252.00 | $3,058,023.00 | $9,217,888.00 | $12,979,788.00 | $12,979,788.00 | $2,245,058.00 | $10,734,730.00 | $9,866,352.00 | $868,378.00 | $2,400.00 | $870,778.00 | $870,778.00 | $4,160,834.00 | $239,351.00 | GARDENS SNF HOLDCO LLC | 96.76 | 17606 | 7068 | 4858 | $12,979,788.00 | $4,124,437.00 | $5,741,915.00 |
