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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 |
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| 1353314 | 675034 | ARBOR LAKE NURSING & REHABILITATION | 901 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 4 | 1529 | 22915 | 3470 | 27914 | 123 | 44895 | 36 | 134 | 54 | 224 | 42.47 | 171.01 | 124.62 | 28 | 41 | 26 | 95 | 1529 | 22915 | 3470 | 27914 | 123 | 44895 | 36 | 134 | 54 | 224 | $2,660,625.00 | $4,171,059.00 | $1,297,684.00 | $603,491.00 | $277,985.00 | $2,660,625.00 | $1,288,436.00 | $527,119.00 | $660,862.00 | $232,314.00 | $13,332.00 | $1,571,201.00 | $133,186.00 | $110,389.00 | $185,307.00 | $2,440.00 | $1,758,948.00 | $420,915.00 | $144,605.00 | $1,632,056.00 | $28,067.00 | $28,067.00 | $1,660,123.00 | $98,825.00 | $98,825.00 | $1,758,948.00 | $4,706,053.00 | $5,386,247.00 | $617,490.00 | $6,003,737.00 | $-251,857.00 | $6,255,594.00 | $6,831,684.00 | $-576,090.00 | $561,338.00 | $-14,752.00 | $-14,752.00 | $939,826.00 | $28,831.00 | ARBOR LAKE NURSING & REHABILITATION LLC | 68.62 | 22915 | 1529 | 3470 | $6,003,737.00 | $2,660,625.00 | $4,171,059.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1347605 | 455819 | ARLINGTON HEIGHTS HEALTH & REHAB CTR | 4825 WELLESLEY STREET | FORT WORTH | TX | 76107 | TARRANT | 23104 | U | 2022-01-01 | 2022-10-31 | 4 | 1146 | 24112 | 6207 | 31465 | 180 | 54720 | 15 | 67 | 288 | 370 | 76.40 | 359.88 | 85.04 | 34 | 97 | 227 | 358 | 1146 | 24112 | 6207 | 31465 | 180 | 54720 | 15 | 67 | 288 | 370 | $4,074,509.00 | $4,769,407.00 | $1,915,101.00 | $1,163,552.00 | $519,375.00 | $4,074,509.00 | $-26,109.00 | $4,704.00 | $1,187,065.00 | $2,778,221.00 | $2,499,373.00 | $546,877.00 | $2,179,136.00 | $-69.00 | $-69.00 | $3,366,132.00 | $517,994.00 | $373,679.00 | $137,504.00 | $110,348.00 | $1,139,525.00 | 3113415.00 | $-1,777,790.00 | $1,335,625.00 | $2,475,150.00 | $890,982.00 | $890,982.00 | $3,366,132.00 | $9,090,003.00 | $11,005,104.00 | $11,005,104.00 | $4,163,654.00 | $6,841,450.00 | $8,843,916.00 | $-2,002,466.00 | $1,196,491.00 | $-805,975.00 | $-805,975.00 | $714,892.00 | $56,173.00 | 63.11 | 24112 | 1146 | 6207 | $11,005,104.00 | $4,074,509.00 | $4,769,407.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1369532 | 675817 | CORYELL COUNTY MEMORIAL HOSPITAL AUT | 5300 ALTA MESA BLVD | FORT WORTH | TX | 76133-5924 | TARRANT | 23104 | U | 2022-08-01 | 2023-07-31 | 13 | 1898 | 32073 | 6747 | 40718 | 198 | 72270 | 52 | 187 | 136 | 375 | 36.50 | 171.51 | 108.58 | 47 | 60 | 112 | 219 | 1898 | 32073 | 6747 | 40718 | 198 | 72270 | 52 | 187 | 136 | 375 | $5,482,229.00 | $6,330,528.00 | $1,823,201.00 | $1,537,199.00 | $550,625.00 | $5,482,229.00 | $620,889.00 | $41,678.00 | $3,047,954.00 | $128,160.00 | $89,581.00 | $11,897,977.00 | $1,337,870.00 | $551,891.00 | $920,455.00 | $-75,551.00 | $-52,551.00 | $12,765,881.00 | $954,146.00 | $242,518.00 | $499,684.00 | $14,290,564.00 | $1,179,850.00 | $1,179,850.00 | $15,470,414.00 | $-2,704,533.00 | $-2,704,533.00 | $12,765,881.00 | $8,591,192.00 | $9,510,352.00 | $904,041.00 | $10,414,393.00 | $740,919.00 | $9,673,474.00 | $11,812,757.00 | $-2,139,283.00 | $724,748.00 | $-1,414,535.00 | $-1,414,535.00 | $1,249,722.00 | 66.72 | 32073 | 1898 | 6747 | $10,414,393.00 | $5,482,229.00 | $6,330,528.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1371698 | 455457 | CORYELL COUNTY MEMORIAL HOSPITAL AUT | 2129 SKYLINE DR | FORT WORTH | TX | 76114 | TARRANT | 23104 | U | 2022-09-01 | 2023-08-31 | 13 | 1212 | 17831 | 8543 | 27586 | 104 | 37960 | 30 | 87 | 232 | 349 | 40.40 | 204.95 | 79.04 | 31 | 26 | 186 | 243 | 1212 | 17831 | 8543 | 27586 | 104 | 37960 | 30 | 87 | 232 | 349 | $3,734,491.00 | $4,352,957.00 | $1,619,741.00 | $2,364,161.00 | $422,017.00 | $3,734,491.00 | $1,001,367.00 | $42,825.00 | $2,263,314.00 | $586,987.00 | $38,777.00 | $16,293,353.00 | $783,031.00 | $231,562.00 | $681,166.00 | $-371,971.00 | $-363,580.00 | $16,610,939.00 | $526,195.00 | $189,863.00 | $17,128,891.00 | $14,526.00 | $14,526.00 | $17,143,417.00 | $-532,478.00 | $-532,478.00 | $16,610,939.00 | $5,724,904.00 | $6,946,009.00 | $398,636.00 | $7,344,645.00 | $166,500.00 | $7,178,145.00 | $8,087,448.00 | $-909,303.00 | $371,743.00 | $-537,560.00 | $-537,560.00 | $795,678.00 | $10,698.00 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | 72.12 | 17831 | 1212 | 8543 | $7,344,645.00 | $3,734,491.00 | $4,352,957.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1365298 | 675622 | DECATUR HOSP AUTH – CITYVIEW N&RC | 5801 BRYANT IRVIN ROAD | FORT WORTH | TX | 76132 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 8 | 2218 | 35222 | 11243 | 48683 | 210 | 76650 | 56 | 125 | 334 | 515 | 39.61 | 281.78 | 94.53 | 81 | 91 | 363 | 535 | 2218 | 35222 | 11243 | 48683 | 210 | 76650 | 56 | 125 | 334 | 515 | $5,714,627.00 | $7,545,451.00 | $1,992,553.00 | $1,581,292.00 | $578,187.00 | $5,714,627.00 | $4,025.00 | $1,323,214.00 | $14,969.00 | $1,342,208.00 | $82,782.00 | $7,246.00 | $85,631.00 | $289,209.00 | $312,313.00 | $1,740,152.00 | $190,407.00 | $139,614.00 | $171.00 | $538,456.00 | $868,648.00 | $868,648.00 | $871,504.00 | $871,504.00 | $1,740,152.00 | $8,782,645.00 | $10,775,197.00 | $10,775,197.00 | $10,775,197.00 | $13,260,078.00 | $-2,484,881.00 | $3,311,713.00 | $826,832.00 | $826,832.00 | $1,339,331.00 | $25,299.00 | REGENCY IHS OF CITYVIEW FORT WORTH LLC | 83.81 | 35222 | 2218 | 11243 | $10,775,197.00 | $5,714,627.00 | $7,545,451.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1364772 | 676255 | DECATUR HOSP AUTH-FORT WORTH T C CTR | 850 12TH AVE | FORT WORTH | TX | 76104 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 8 | 1791 | 17301 | 9120 | 28212 | 136 | 49640 | 83 | 118 | 307 | 508 | 21.58 | 146.62 | 55.54 | 94 | 90 | 326 | 510 | 1791 | 17301 | 9120 | 28212 | 136 | 49640 | 83 | 118 | 307 | 508 | $4,126,890.00 | $4,347,326.00 | $1,570,410.00 | $1,069,900.00 | $470,777.00 | $4,126,890.00 | $1,054,531.00 | $3,636.00 | $1,486,466.00 | $20,126.00 | $1,510,228.00 | $8,920.00 | $20,355.00 | $27,338.00 | $-205,385.00 | $-205,385.00 | $1,332,181.00 | $446,702.00 | $233,371.00 | $353.00 | $552,440.00 | $1,232,866.00 | $5,262.00 | $5,262.00 | $1,238,128.00 | $94,053.00 | $94,053.00 | $1,332,181.00 | $5,378,157.00 | $6,948,567.00 | $6,948,567.00 | $6,948,567.00 | $8,474,216.00 | $-1,525,649.00 | $1,854,359.00 | $328,710.00 | $328,710.00 | $1,161,684.00 | $23,750.00 | REGENCY IHS OF FORT WORTH LLC | 57.50 | 17301 | 1791 | 9120 | $6,948,567.00 | $4,126,890.00 | $4,347,326.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1352470 | 455881 | DFW NURSING AND REHAB | 900 W. LEUDA | FORT WORTH | TX | 76104 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 6 | 2370 | 1428 | 20260 | 24058 | 98 | 35770 | 36 | 6 | 85 | 127 | 65.83 | 238.00 | 189.43 | 51 | 5 | 67 | 123 | 2370 | 1428 | 20260 | 24058 | 98 | 35770 | 36 | 6 | 85 | 127 | $2,515,959.00 | $3,450,365.00 | $1,780,844.00 | $905,068.00 | $251,210.00 | $2,515,959.00 | $764,282.00 | $857,529.00 | $85,490.00 | $18,382.00 | $1,554,703.00 | $363,971.00 | $99,661.00 | $325,413.00 | $506,610.00 | $506,610.00 | $2,386,726.00 | $142,483.00 | $90,434.00 | $30,213.00 | $159,772.00 | $422,902.00 | $422,902.00 | $1,963,824.00 | $1,963,824.00 | $2,386,726.00 | $5,192,426.00 | $6,121,300.00 | $851,969.00 | $6,973,269.00 | $1,259,002.00 | $5,714,267.00 | $5,966,324.00 | $-252,057.00 | $629,256.00 | $377,199.00 | $377,199.00 | $1,511,030.00 | $30,801.00 | CHARLESTON DFW OPERATIONS LLC | 76.63 | 1428 | 2370 | 20260 | $6,973,269.00 | $2,515,959.00 | $3,450,365.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1362045 | 455651 | DOWNTOWN HEALTH AND REHABILITATION C | 424 SOUTH ADAMS STREET | FORT WORTH | TX | 76104 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 11 | 1950 | 29211 | 5449 | 36610 | 161 | 58765 | 29 | 95 | 291 | 415 | 67.24 | 307.48 | 88.22 | 47 | 137 | 231 | 415 | 1950 | 29211 | 5449 | 36610 | 161 | 58765 | 29 | 95 | 291 | 415 | $673,408.00 | $8,195,115.00 | $1,652,127.00 | $989,749.00 | $69,615.00 | $673,408.00 | $57,755.00 | $11,702.00 | $1,412,665.00 | $29,754.00 | $6,502,262.00 | $10,247,825.00 | $58,951.00 | $124,128.00 | $54,875.00 | $119,074.00 | $10,491,027.00 | $1,001,803.00 | $654,283.00 | $329,618.00 | $6,513,985.00 | $14,962.00 | $9,056,797.00 | 815932.00 | $815,932.00 | $9,872,729.00 | $733,173.00 | $733,173.00 | $10,605,902.00 | $9,991,109.00 | $11,506,239.00 | $136,997.00 | $11,643,236.00 | $3,967,039.00 | $7,676,197.00 | $8,868,523.00 | $-1,192,326.00 | $1,925,499.00 | $733,173.00 | $733,173.00 | $1,216,118.00 | $27,185.00 | FORT WORTH IV ENTERPRISES, LLC | 64.04 | 29211 | 1950 | 5449 | $11,643,236.00 | $673,408.00 | $8,195,115.00 | ||||||||||||||||||||||||||||||||||||||||
| 1371371 | 675028 | ESTATES HEALTHCARE & REHAB | 201 SYCAMORE SCHOOL ROAD | FORT WORTH | TX | 76134-5009 | TARRANT | 23104 | U | 2022-09-01 | 2023-01-31 | 4 | 792 | 9736 | 2056 | 12584 | 152 | 23256 | 13 | 84 | 37 | 134 | 60.92 | 115.90 | 93.91 | 24 | 78 | 30 | 132 | 792 | 9736 | 2056 | 12584 | 152 | 23256 | 13 | 84 | 37 | 134 | $1,246,705.00 | $2,443,422.00 | $637,670.00 | $315,537.00 | $115,633.00 | $1,246,705.00 | $119,995.00 | $1,590,925.00 | $564,877.00 | $8,188.00 | $4,292.00 | $1,282,683.00 | $585,877.00 | $310,637.00 | $682,733.00 | $48,606.00 | $48,606.00 | $2,014,022.00 | $337,027.00 | $98,208.00 | $46,310.00 | $581,656.00 | $34,243.00 | $4,762,576.00 | $5,344,232.00 | $-3,330,210.00 | $-3,330,210.00 | $2,014,022.00 | $2,472,878.00 | $3,113,049.00 | $3,113,049.00 | $322,211.00 | $2,790,838.00 | $3,690,127.00 | $-899,289.00 | $2,249,136.00 | $1,349,847.00 | $1,349,847.00 | $522,389.00 | $14,647.00 | FORT WORTH V ENTERPRISES LLC | 51.47 | 9736 | 792 | 2056 | $3,113,049.00 | $1,246,705.00 | $2,443,422.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1371892 | 455576 | FOSSIL CREEK HEALTHCARE INC. | 3109 KINGS COURT | FORT WORTH | TX | 76118 | TARRANT | 23104 | U | 2022-07-01 | 2023-06-30 | 11 | 2035 | 15016 | 4348 | 21399 | 92 | 33580 | 48 | 32 | 206 | 286 | 42.40 | 469.25 | 74.82 | 79 | 35 | 159 | 273 | 2035 | 15016 | 4348 | 21399 | 92 | 33580 | 48 | 32 | 206 | 286 | $2,818,628.00 | $3,589,371.00 | $3,705,083.00 | $1,246,813.00 | $401,096.00 | $2,818,628.00 | $910,796.00 | $38,153.00 | $1,441,097.00 | $460,623.00 | $6,126.00 | $4,999,463.00 | $6,024,216.00 | $18,200.00 | $267,742.00 | $192,461.00 | $410,578.00 | $475,835.00 | $1,583,246.00 | $1,583,246.00 | $8,083,297.00 | $141,801.00 | $138,133.00 | $20,821.00 | $771,631.00 | $1,072,386.00 | $1,357,405.00 | $1,357,405.00 | $2,429,791.00 | $5,653,506.00 | $5,653,506.00 | $8,083,297.00 | $4,581,227.00 | $8,286,310.00 | $8,286,310.00 | $1,004,913.00 | $7,281,397.00 | $6,407,999.00 | $873,398.00 | $3,071.00 | $876,469.00 | $876,469.00 | $1,289,762.00 | $4,827.00 | EASTLAND MEMORIAL HOSPITAL DISTRICT | 61.96 | 15016 | 2035 | 4348 | $8,286,310.00 | $2,818,628.00 | $3,589,371.00 | ||||||||||||||||||||||||||||||||||||||
| 1338991 | 675650 | GARDEN TERRACE ALZHEIMERS CENTER | 7500 OAKMONT BOULEVARD | FORT WORTH | TX | 76132 | TARRANT | 23104 | U | 2021-10-01 | 2022-09-30 | 6 | 2672 | 11082 | 13754 | 120 | 43800 | 112 | 319 | 431 | 23.86 | 31.91 | 109 | 337 | 446 | 2672 | 11082 | 13754 | 120 | 43800 | 112 | 319 | 431 | $2,829,782.00 | $2,833,184.00 | $2,260,435.00 | $903,032.00 | $493,440.00 | $2,829,782.00 | $196,309.00 | $3,023.00 | $427,438.00 | $81,786.00 | $14,264.00 | $435,374.00 | $3,848.00 | $961,198.00 | $308,347.00 | $494,270.00 | $74,796.00 | $79,319.00 | $1,008,963.00 | $58,245.00 | $136,010.00 | $6,430.00 | $605,676.00 | $806,361.00 | $350,409.00 | $558,922.00 | $1,365,283.00 | $-356,320.00 | $-356,320.00 | $1,008,963.00 | $3,002,576.00 | $5,213,750.00 | $5,213,750.00 | $610,217.00 | $4,603,533.00 | $5,662,966.00 | $-1,059,433.00 | $61,845.00 | $-997,588.00 | $-997,588.00 | $1,534,485.00 | $10,240.00 | WEETER, JERRY | 76.92 | 2672 | 11082 | $5,213,750.00 | $2,829,782.00 | $2,833,184.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1373944 | 676161 | GREEN VALLEY HEALTHCARE AND REHABILI | 6850 RUFE SNOW DRIVE | FORT WORTH | TX | 76148 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 11 | 3371 | 19446 | 4991 | 27808 | 124 | 45260 | 120 | 18 | 14 | 152 | 28.09 | 1080.33 | 182.95 | 21 | 21 | 19 | 61 | 3371 | 19446 | 4991 | 27808 | 124 | 45260 | 120 | 18 | 14 | 152 | $4,404,010.00 | $4,587,629.00 | $4,564,265.00 | $1,672,037.00 | $489,924.00 | $4,404,010.00 | $1,087,020.00 | $1,400,030.00 | $1,540,608.00 | $551,684.00 | $7,258.00 | $1,974.00 | $4,587,999.00 | $-92.00 | $-92.00 | $4,587,907.00 | $2,761,363.00 | $116,887.00 | $9,450.00 | $2,887,700.00 | $2,887,700.00 | $1,700,207.00 | $1,700,207.00 | $4,587,907.00 | $6,219,737.00 | $10,784,002.00 | $10,784,002.00 | $1,373,716.00 | $9,410,286.00 | $8,991,639.00 | $418,647.00 | $7,539.00 | $426,186.00 | $426,186.00 | $2,031,777.00 | $50,710.00 | NEXION HEALTH AT NORTH RICHLAND HILLS INC | 77.82 | 19446 | 3371 | 4991 | $10,784,002.00 | $4,404,010.00 | $4,587,629.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1360498 | 676449 | IGNITE MEDICAL RESORT FORT WORTH | 6301 OAKMONT BLVD | FORT WORTH | TX | 76132 | TARRANT | 23104 | U | 2022-04-01 | 2022-12-31 | 4 | 6740 | 12364 | 19104 | 94 | 25850 | 239 | 391 | 630 | 28.20 | 29.03 | 266 | 493 | 759 | 6740 | 10327 | 17067 | 70 | 19250 | 239 | 349 | 588 | $3,699,469.00 | $6,046,289.00 | $4,510,008.00 | $1,833,256.00 | $614,945.00 | $3,699,469.00 | $971,079.00 | $526,674.00 | $2,273,562.00 | $161,064.00 | $2,964,327.00 | $9,840.00 | $115,584.00 | $121,637.00 | $423,354.00 | $423,354.00 | $3,509,318.00 | $273,894.00 | $286,312.00 | $366,750.00 | $507,764.00 | $1,434,720.00 | $1,507,948.00 | $1,507,948.00 | $2,942,668.00 | $566,650.00 | $566,650.00 | $3,509,318.00 | $6,521,281.00 | $11,031,289.00 | $11,031,289.00 | $812,588.00 | $10,218,701.00 | $9,745,758.00 | $472,943.00 | $93,707.00 | $566,650.00 | $566,650.00 | $4,303,130.00 | $18,478.00 | IGNITE FORT WORTH JV, LLC | 80.57 | 6740 | 12364 | $11,031,289.00 | $3,699,469.00 | $6,046,289.00 | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1353642 | 676052 | IMMANUELS HEALTHCARE NURSING CENTER | 4515 VILLAGE CREEK RD. | FORT WORTH | TX | 76119 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 4 | 3559 | 15636 | 3731 | 22926 | 84 | 30660 | 55 | 50 | 43 | 148 | 64.71 | 312.72 | 154.91 | 18 | 15 | 25 | 58 | 3559 | 15636 | 3731 | 22926 | 84 | 30660 | 55 | 50 | 43 | 148 | $3,599,320.00 | $3,172,157.00 | $2,316,064.00 | $760,279.00 | $338,641.00 | $3,599,320.00 | $517,675.00 | $323,571.00 | $1,273,757.00 | $22,539.00 | $1,619,867.00 | $63,281.00 | $36,623.00 | $17,128.00 | $1,636,995.00 | $123,426.00 | $173,835.00 | $55,502.00 | $48,988.00 | $854,931.00 | $854,931.00 | $782,064.00 | $782,064.00 | $1,636,995.00 | $4,956,187.00 | $5,934,050.00 | $1,338,200.00 | $7,272,250.00 | $1,616,021.00 | $5,656,229.00 | $6,771,477.00 | $-1,115,248.00 | $343,153.00 | $-772,095.00 | $-772,095.00 | $2,162,853.00 | $23,409.00 | VILLA, RICARDO | 67.50 | 15636 | 3559 | 3731 | $7,272,250.00 | $3,599,320.00 | $3,172,157.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1372541 | 675935 | LIFE CARE CENTER OF HALTOM | 2936 MARKUM DRIVE | FORT WORTH | TX | 76117 | TARRANT | 23104 | U | 2022-09-01 | 2023-08-31 | 6 | 3076 | 14043 | 16251 | 33370 | 127 | 46355 | 141 | 58 | 532 | 731 | 21.82 | 242.12 | 45.65 | 144 | 61 | 526 | 731 | 3076 | 14043 | 16251 | 33370 | 127 | 46355 | 141 | 58 | 532 | 731 | $4,774,057.00 | $4,392,766.00 | $4,029,676.00 | $1,586,630.00 | $738,106.00 | $4,774,057.00 | $753,903.00 | $3,703.00 | $1,733,133.00 | $263,913.00 | $56,207.00 | $1,548,357.00 | $223,055.00 | $317,657.00 | $277,220.00 | $1,068,858.00 | $1,063,859.00 | $2,889,436.00 | $367,904.00 | $223,765.00 | $12,039.00 | $348,320.00 | $67,574.00 | $1,019,602.00 | $1,083,887.00 | $173,000.00 | $1,358,916.00 | $2,378,518.00 | $510,918.00 | $510,918.00 | $2,889,436.00 | $7,638,208.00 | $11,598,374.00 | $11,598,374.00 | $2,542,813.00 | $9,055,561.00 | $9,166,823.00 | $-111,262.00 | $3,202.00 | $-108,060.00 | $-108,060.00 | $1,900,084.00 | $27,160.00 | DUNCAN, LAWRENCE | 54.41 | 14043 | 3076 | 16251 | $11,598,374.00 | $4,774,057.00 | $4,392,766.00 | |||||||||||||||||||||||||||||||||||||||
| 1361456 | 676067 | MIRA VISTA COURT | 7021 BRYANT IRVIN ROAD | FORT WORTH | TX | 76132 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 11 | 2918 | 22159 | 9702 | 34779 | 142 | 51830 | 70 | 114 | 170 | 354 | 41.69 | 194.38 | 98.25 | 74 | 18 | 157 | 249 | 2918 | 22159 | 9702 | 34779 | 142 | 51830 | 70 | 114 | 170 | 354 | $3,571,945.00 | $5,995,405.00 | $4,541,755.00 | $1,472,271.00 | $300,879.00 | $3,521,588.00 | $1,494,251.00 | $104,071.00 | $1,272,892.00 | $410,842.00 | $997,064.00 | $6,286,922.00 | $179,297.00 | $114,540.00 | $6,490,985.00 | $7,488,049.00 | $225,076.00 | $249,770.00 | $105,220.00 | $18,967.00 | $1,669,408.00 | $2,268,441.00 | $5,238,331.00 | $5,890,419.00 | $8,158,860.00 | $-670,811.00 | $-670,811.00 | $7,488,049.00 | $6,226,261.00 | $10,645,474.00 | $10,645,474.00 | $2,088,697.00 | $8,556,777.00 | $9,567,350.00 | $-1,010,573.00 | $1,301,136.00 | $290,563.00 | $290,563.00 | $1,803,498.00 | $15,993.00 | BRYANT IRVIN CONSULTING LLC | 71.97 | 22159 | 2918 | 9702 | $10,645,474.00 | $3,571,945.00 | $5,995,405.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1370262 | 676426 | NB BROWN ROCK HEALTHCARE INC. | 4240 GOLDEN TRIANGLE BOULEVARD | FORT WORTH | TX | 76244 | TARRANT | 23104 | U | 2022-07-01 | 2023-06-30 | 11 | 2437 | 18803 | 8432 | 29672 | 132 | 48180 | 55 | 32 | 186 | 273 | 44.31 | 587.59 | 108.69 | 74 | 26 | 162 | 262 | 2437 | 18803 | 8432 | 29672 | 132 | 48180 | 55 | 32 | 186 | 273 | $4,388,858.00 | $4,987,904.00 | $5,649,064.00 | $1,709,917.00 | $613,766.00 | $4,388,858.00 | $280,205.00 | $12,623.00 | $1,719,381.00 | $888,991.00 | $5,202.00 | $20,299.00 | $868,514.00 | $5,500.00 | $134,647.00 | $506,148.00 | $218,576.00 | $13,097,709.00 | $13,097,709.00 | $14,184,799.00 | $116,070.00 | $195,254.00 | $32,289.00 | $572,469.00 | $916,082.00 | $12,046,461.00 | $12,046,461.00 | $12,962,543.00 | $1,222,256.00 | $1,222,256.00 | $14,184,799.00 | $6,198,715.00 | $11,847,779.00 | $11,847,779.00 | $2,358,905.00 | $9,488,874.00 | $9,376,762.00 | $112,112.00 | $5,124.00 | $117,236.00 | $117,236.00 | $1,532,482.00 | NB BROWN ROCK HEALTHCARE, INC. | 77.05 | 18803 | 2437 | 8432 | $11,847,779.00 | $4,388,858.00 | $4,987,904.00 | ||||||||||||||||||||||||||||||||||||||||
| 1371748 | 455416 | OLNEY HAMILTON DBA CARADAY FT WORTH | 8001 WESTERN HILLS BLVD | FORT WORTH | TX | 76108 | TARRANT | 23104 | U | 2022-09-01 | 2023-08-31 | 11 | 1224 | 21390 | 4788 | 27402 | 265 | 96725 | 21 | 116 | 36 | 173 | 58.29 | 184.40 | 158.39 | 33 | 51 | 16 | 100 | 1224 | 21390 | 4788 | 27402 | 265 | 96725 | 21 | 116 | 36 | 173 | $3,852,538.00 | $4,785,888.00 | $985,457.00 | $669,056.00 | $439,131.00 | $3,852,538.00 | $1,573,853.00 | $-8,731.00 | $-1,140,949.00 | $-362.00 | $-1,150,042.00 | $386,567.00 | $23,712.00 | $23,780.00 | $381,473.00 | $-768,569.00 | $732,196.00 | $-55,423.00 | $21,840.00 | $698,613.00 | $698,613.00 | $-1,467,182.00 | $-1,467,182.00 | $-768,569.00 | $6,053,547.00 | $6,848,680.00 | $190,324.00 | $7,039,004.00 | $579,518.00 | $6,459,486.00 | $8,638,426.00 | $-2,178,940.00 | $1,371,335.00 | $-807,605.00 | $-807,605.00 | $839,300.00 | CARADAY FT. WORTH LLC | 30.87 | 21390 | 1224 | 4788 | $7,039,004.00 | $3,852,538.00 | $4,785,888.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1375070 | 455606 | PARK VIEW CARE CENTER | 3301 VIEW STREET | FORT WORTH | TX | 76103-2499 | TARRANT | 23104 | U | 2022-09-01 | 2023-08-31 | 4 | 1524 | 48694 | 1704 | 51922 | 179 | 65335 | 25 | 196 | 69 | 290 | 60.96 | 248.44 | 179.04 | 35 | 188 | 78 | 301 | 1524 | 48694 | 1704 | 51922 | 179 | 65335 | 25 | 196 | 69 | 290 | $1.00 | $9,694,761.00 | $2,857,016.00 | $1,106,908.00 | $1.00 | $4,481,060.00 | $972,834.00 | $2,851,217.00 | $1,379,844.00 | $1,379,844.00 | $-53,141.00 | $103,044.00 | $49,903.00 | $49,903.00 | $1,329,941.00 | $1,329,941.00 | $1,379,844.00 | $9,296,182.00 | $12,153,198.00 | $12,153,198.00 | $2,364,287.00 | $9,788,911.00 | $9,694,762.00 | $94,149.00 | $7,779.00 | $101,928.00 | $101,928.00 | $962,655.00 | $584.00 | BEDARD, MATHEW | 93.37 | 48694 | 1524 | 1704 | $12,153,198.00 | $1.00 | $9,694,761.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1355726 | 676285 | REMARKABLE HEALTHCARE OF FT WORTH | 6649 NORTH RIVERSIDE DRIVE | FORT WORTH | TX | 76137 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 4 | 4106 | 15172 | 5661 | 24939 | 120 | 43800 | 41 | 42 | 28 | 111 | 100.15 | 361.24 | 224.68 | 41 | 42 | 28 | 111 | 4106 | 15172 | 5661 | 24939 | 120 | 43800 | 41 | 42 | 28 | 111 | $3,848,973.00 | $3,901,031.00 | $1,841,781.00 | $1,165,347.00 | $326,941.00 | $3,848,973.00 | $459,889.00 | $1,107,329.00 | $-206,679.00 | $64,929.00 | $2,050,376.00 | $197,629.00 | $110,613.00 | $373,242.00 | $2,465.00 | $2,426,083.00 | $-2,726,573.00 | $1,155.00 | $173,195.00 | $-5,532,335.00 | $1,524,559.00 | $1,524,559.00 | $-4,007,776.00 | $6,433,859.00 | $6,433,859.00 | $2,426,083.00 | $6,086,256.00 | $7,933,187.00 | $7,933,187.00 | $1,138,402.00 | $6,794,785.00 | $7,750,004.00 | $-955,219.00 | $387,382.00 | $-567,837.00 | $-567,837.00 | $2,642,978.00 | $46,818.00 | #N/A | 15172 | 4106 | 5661 | $7,933,187.00 | $3,848,973.00 | $3,901,031.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1368039 | 455891 | RENAISSANCE PARK MULTI CARE CENTER | 4252 BRYANT IRVIN ROAD | FORT WORTH | TX | 76109 | TARRANT | 23104 | U | 2022-07-01 | 2023-06-30 | 5 | 2354 | 6786 | 7923 | 17063 | 118 | 43070 | 104 | 63 | 252 | 419 | 22.63 | 107.71 | 40.72 | 103 | 65 | 252 | 420 | 2354 | 6786 | 7923 | 17063 | 118 | 43070 | 104 | 63 | 252 | 419 | $3,272,176.00 | $2,733,149.00 | $3,420,743.00 | $1,257,829.00 | $525,740.00 | $3,272,176.00 | $302,933.00 | $2,066.00 | $1,373,319.00 | $202,600.00 | $42,060.00 | $1,205,949.00 | $5,498.00 | $1,142,413.00 | $698,102.00 | $452,036.00 | $1,112,183.00 | $1,114,042.00 | $2,772,027.00 | $264,016.00 | $163,441.00 | $9,017.00 | $126,176.00 | $57,618.00 | $620,268.00 | $837,765.00 | $264,433.00 | $1,427,346.00 | $2,047,614.00 | $724,413.00 | $724,413.00 | $2,772,027.00 | $3,533,490.00 | $6,874,047.00 | $6,874,047.00 | $1,313,982.00 | $5,560,065.00 | $6,005,325.00 | $-445,260.00 | $189,244.00 | $-256,016.00 | $-256,016.00 | $1,509,232.00 | $38,691.00 | MEHARRY, DOUGLAS | 38.75 | 6786 | 2354 | 7923 | $6,874,047.00 | $3,272,176.00 | $2,733,149.00 | ||||||||||||||||||||||||||||||||||||||
| 1359991 | 676101 | RIDGMAR MEDICAL LODGE | 6600 LANDS END COURT | FORT WORTH | TX | 76116 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 4 | 5945 | 16639 | 8873 | 31457 | 155 | 56575 | 112 | 78 | 235 | 425 | 53.08 | 213.32 | 74.02 | 126 | 56 | 223 | 405 | 5945 | 16639 | 8873 | 31457 | 155 | 56575 | 112 | 78 | 235 | 425 | $3,417,754.00 | $7,279,517.00 | $3,765,927.00 | $2,390,585.00 | $447,205.00 | $3,417,754.00 | $225,036.00 | $4,054,830.00 | $892,102.00 | $62,969.00 | $70,905.00 | $3,521,638.00 | $45,575.00 | $275,618.00 | $113,929.00 | $48,778.00 | $48,778.00 | $3,684,345.00 | $224,667.00 | $63,288.00 | $-3,987.00 | $30,772.00 | $2,093,571.00 | $2,408,311.00 | $2,408,311.00 | $1,276,034.00 | $1,276,034.00 | $3,684,345.00 | $5,984,946.00 | $7,160,668.00 | $2,590,205.00 | $9,750,873.00 | $-564,054.00 | $10,314,927.00 | $10,697,271.00 | $-382,344.00 | $476,233.00 | $93,889.00 | $93,889.00 | $3,745,898.00 | $21,518.00 | PMG OPCO-RIDGMAR LLC | 61.55 | 16639 | 5945 | 8873 | $9,750,873.00 | $3,417,754.00 | $7,279,517.00 | |||||||||||||||||||||||||||||||||||||||||
| 1358086 | 675018 | RIVER OAKS HEALTH AND REHAB CENTER | 2416 NW 18TH STREET | FORT WORTH | TX | 76106-6604 | TARRANT | 23104 | U | 2022-01-01 | 2022-12-31 | 4 | 1077 | 16567 | 1661 | 19305 | 120 | 43800 | 10 | 49 | 38 | 97 | 107.70 | 338.10 | 199.02 | 20 | 45 | 30 | 95 | 1077 | 16567 | 1661 | 19305 | 120 | 43800 | 10 | 49 | 38 | 97 | $1,750,769.00 | $3,409,216.00 | $482,151.00 | $555,823.00 | $207,185.00 | $1,750,769.00 | $986,159.00 | $-65,727.00 | $326,383.00 | $22,173.00 | $282,829.00 | $251,055.00 | $10,500.00 | $293,329.00 | $848,786.00 | $74,074.00 | $12,030.00 | $7,403.00 | $942,293.00 | $942,293.00 | $-648,964.00 | $-648,964.00 | $293,329.00 | $3,603,390.00 | $4,085,540.00 | $4,085,540.00 | $173,672.00 | $3,911,868.00 | $5,159,985.00 | $-1,248,117.00 | $1,038,053.00 | $-210,064.00 | $-906,209.00 | $688,961.00 | $1,167.00 | GULF COAST LTC PARTNERS INC | 42.42 | 16567 | 1077 | 1661 | $4,085,540.00 | $1,750,769.00 | $3,409,216.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1372958 | 675759 | STONEGATE NURSING & REHAB | 4201 STONEGATE BLVD | FORT WORTH | TX | 76109 | TARRANT | 23104 | U | 2022-09-01 | 2023-08-31 | 11 | 2865 | 11303 | 13086 | 27254 | 134 | 48910 | 106 | 36 | 275 | 417 | 27.03 | 313.97 | 65.36 | 124 | 32 | 307 | 463 | 2865 | 11303 | 13086 | 27254 | 134 | 48910 | 106 | 36 | 275 | 417 | $3,618,551.00 | $4,425,113.00 | $3,029,278.00 | $1,490,310.00 | $434,959.00 | $3,618,551.00 | $669,634.00 | $-248,643.00 | $230,086.00 | $4,097.00 | $-14,460.00 | $455,634.00 | $441,174.00 | $41,252.00 | $-102,093.00 | $-26,664.00 | $-87,505.00 | $-87,505.00 | $528,679.00 | $528,679.00 | $441,174.00 | $7,933,096.00 | $10,962,374.00 | $10,962,374.00 | $3,372,462.00 | $7,589,912.00 | $8,043,664.00 | $-453,752.00 | $982,431.00 | $528,679.00 | $528,679.00 | $1,870,527.00 | $36,291.00 | HMG PARK MANOR OF STONEGATE, LLC | 58.21 | 11303 | 2865 | 13086 | $10,962,374.00 | $3,618,551.00 | $4,425,113.00 | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1344618 | 675238 | THE CUMBERLAND REST INC | 1600 TEXAS STREET | FORT WORTH | TX | 76012 | TARRANT | 23104 | U | 2021-10-01 | 2022-09-30 | 2 | 3408 | 18589 | 21997 | 73 | 26645 | 116 | 64 | 180 | 29.38 | 69.64 | 139 | 48 | 187 | 3408 | 9057 | 12465 | 44 | 16060 | 116 | 63 | 179 | $10,259,376.00 | $29,959,658.00 | $996,943.00 | $1,064,097.00 | $2,542,771.00 | $10,259,376.00 | $1,277,918.00 | $6,180,011.00 | $34,076,512.00 | $987,337.00 | $35,997.00 | $232,997.00 | $408,747.00 | $1,535,625.00 | $43,444,510.00 | $1,400,487.00 | $200,440,062.00 | $13,570,652.00 | $154,898,433.00 | $9,418,320.00 | $102,735,954.00 | $112,154,274.00 | $310,497,217.00 | $1,066,171.00 | $655,396.00 | $900,064.00 | $2,257,143.00 | $14,000.00 | $4,260,629.00 | $9,449,134.00 | $82,499,386.00 | $98,327,933.00 | $180,827,319.00 | $190,276,453.00 | $120,220,764.00 | $120,220,764.00 | $310,497,217.00 | $29,150,909.00 | $30,147,852.00 | $30,147,852.00 | $882,997.00 | $29,264,855.00 | $40,219,034.00 | $-10,954,179.00 | $40,495,377.00 | $29,541,198.00 | $29,541,198.00 | $1,946,092.00 | AUSTIN, JAMES | 69.42 | 3408 | 18589 | $30,147,852.00 | $10,259,376.00 | $29,959,658.00 |
