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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
    1365312 55288 AUTUMN HILLS HEALTH CARE CENTER 430 N. GLENDALE AVE GLENDALE CA 91206 LOS ANGELES 31084 U 2022-01-01 2022-12-31 6 11282 22314 628 34224 99 36135 203 87 11 301 55.58 256.48 113.70 173 2 7 182 11282 22314 628 34224 99 36135 203 87 11 301 $6,046,628.00 $8,000,292.00 $5,358,562.00 $2,183,834.00 $852,964.00 $5,886,449.00 $1,462,782.00 $3,100.00 $1,432,064.00 $497,630.00 $199,371.00 $1,302,042.00 $2,815,512.00 $1,103,704.00 $234,149.00 $744,153.00 $4,141,860.00 $283,002.00 $283,002.00 $5,726,904.00 $441,965.00 $340,943.00 $69,928.00 $1,155,786.00 $2,008,622.00 $2,410,712.00 $-9,735,251.00 $-7,726,629.00 $13,453,533.00 $13,453,533.00 $5,726,904.00 $12,445,592.00 $17,757,833.00 $17,757,833.00 $3,010,419.00 $14,747,414.00 $14,046,920.00 $700,494.00 $781,100.00 $1,481,594.00 $1,481,594.00 $8,695,772.00 $14,239.00 AUTUMN HILLS OPERATING COMPANY GP LLC 99.02 22314 11282 628 $17,757,833.00 $6,046,628.00 $8,000,292.00
    1348297 55670 BROADWAY MANOR CONVALESCENT HOSPITAL 605 W BROADWAY GLENDALE CA 91204 LOS ANGELES 31084 U 2022-01-01 2022-12-31 4 5173 17376 2079 24628 78 28470 113 198 76 387 45.78 87.76 63.64 157 105 71 333 5173 17376 2079 24628 78 28470 113 198 76 387 $3,538,485.00 $6,153,890.00 $5,643,255.00 $1,326,215.00 $637,461.00 $3,538,485.00 $1,932,486.00 $930,655.00 $1,270,428.00 $480,532.00 $169,820.00 $1,890,371.00 $127,722.00 $763,067.00 $1,504,351.00 $3,394,722.00 $455,045.00 $309,073.00 $462,225.00 $1,226,343.00 $1,226,343.00 $2,168,379.00 $2,168,379.00 $3,394,722.00 $7,131,460.00 $12,774,715.00 $12,774,715.00 $3,514,163.00 $9,260,552.00 $9,692,375.00 $-431,823.00 $4,668.00 $-427,155.00 $-427,155.00 $3,751,855.00 POSADA, ELVIRA 93.46 17376 5173 2079 $12,774,715.00 $3,538,485.00 $6,153,890.00
    1365027 56190 CHESTNUT RIDGE POST ACUTE 525 SOUTH CENTRAL AVE GLENDALE CA 91204 LOS ANGELES 31084 U 2022-03-11 2022-12-31 6 7806 16102 3261 27169 106 31376 87 121 35 243 89.72 133.07 111.81 88 66 27 181 7806 16102 3261 27169 106 31376 87 121 35 243 $5,418,331.00 $6,229,684.00 $2,248,508.00 $1,672,663.00 $1,116,790.00 $5,418,331.00 $919,633.00 $50,064.00 $3,124,078.00 $923,236.00 $400,765.00 $3,400,670.00 $550,331.00 $66,830.00 $19,555.00 $574,439.00 $2,838,059.00 $2,838,059.00 $6,813,168.00 $3,536,988.00 $427,638.00 $120,128.00 $269,775.00 $4,354,529.00 $4,354,529.00 $2,458,639.00 $2,458,639.00 $6,813,168.00 $6,342,810.00 $8,591,318.00 $8,591,318.00 $-3,961,679.00 $12,552,997.00 $11,648,015.00 $904,982.00 $169,279.00 $1,074,261.00 $1,068,590.00 $6,667,484.00 CHESTNUT RIDGE POST ACUTE LLC 94.25 16102 7806 3261 $8,591,318.00 $5,418,331.00 $6,229,684.00
    1360475 555839 DREIERS NURSING CARE CENTER 1400 W. GLENOAKS BLVD. GLENDALE CA 91201 LOS ANGELES 31084 U 2022-01-01 2022-12-31 4 3715 406 15997 20118 58 21170 108 24 253 385 34.40 16.92 52.25 131 4 196 331 3715 406 15997 20118 58 21170 108 24 253 385 $3,238,911.00 $4,351,832.00 $1,648,377.00 $950,347.00 $521,590.00 $3,238,911.00 $2,112,413.00 $117,757.00 $1,663,378.00 $754,613.00 $186,622.00 $325,620.00 $3,047,990.00 $376,138.00 $737,948.00 $557,792.00 $3,605,782.00 $681,375.00 $176,250.00 $2,422,215.00 $3,279,840.00 $198,534.00 $198,534.00 $3,478,374.00 $127,408.00 $127,408.00 $3,605,782.00 $8,056,907.00 $9,705,284.00 $9,705,284.00 $2,273,507.00 $7,431,777.00 $7,590,743.00 $-158,966.00 $1,245.00 $-157,721.00 $-157,719.00 $2,738,149.00 HAEDRICH, JOHN 100.19 406 3715 15997 $9,705,284.00 $3,238,911.00 $4,351,832.00
    1362161 555609 GLENDALE HEALTHCARE CENTER 1208 S. CENTRAL AVENUE GLENDALE CA 91204 LOS ANGELES 31084 U 2022-01-01 2022-12-31 6 3694 9339 2448 15481 48 17520 60 7 57 124 61.57 1334.14 124.85 65 2 59 126 3694 9339 2448 15481 48 17520 60 7 57 124 $3,034,529.00 $3,465,901.00 $1,781,750.00 $1,143,670.00 $503,789.00 $3,034,529.00 $657,127.00 $343,232.00 $63,340.00 $712,087.00 $86,055.00 $5,076.00 $75,073.00 $1,526,072.00 $5,885.00 $461,665.00 $102,055.00 $133,340.00 $349,030.00 $1,875,102.00 $392,004.00 $154,337.00 $20,935.00 $-39,241.00 $528,035.00 $528,035.00 $1,347,067.00 $1,347,067.00 $1,875,102.00 $4,952,655.00 $6,734,405.00 $6,734,405.00 $-206,802.00 $6,941,207.00 $6,500,430.00 $440,777.00 $156,940.00 $597,717.00 $597,717.00 $2,925,570.00 87.08 9339 3694 2448 $6,734,405.00 $3,034,529.00 $3,465,901.00
    1377801 55523 GLENDALE POST ACUTE CENTER 250 NORTH VERDUGO ROAD GLENDALE CA 91206 LOS ANGELES 31084 U 2022-01-01 2022-12-31 6 3614 30496 5299 39409 136 49640 79 22 248 349 45.75 1386.18 112.92 65 7 272 344 3614 30496 5299 39409 136 49640 79 22 248 349 $6,811,696.00 $7,221,302.00 $3,173,695.00 $1,794,405.00 $1,016,655.00 $6,811,696.00 $903,410.00 $-83,655.00 $293.00 $1,979,099.00 $430,050.00 $9,313.00 $272,774.00 $-992,193.00 $582,581.00 $452,978.00 $310,223.00 $864,165.00 $263,721.00 $263,721.00 $135,693.00 $852,405.00 $253,721.00 $40,205.00 $17,173.00 $1,163,504.00 $467,506.00 $2,136,920.00 $2,604,426.00 $3,767,930.00 $-3,632,237.00 $-3,632,237.00 $135,693.00 $10,531,785.00 $13,705,480.00 $13,705,480.00 $898,551.00 $12,806,929.00 $14,032,998.00 $-1,226,069.00 $338,639.00 $-887,430.00 $-887,430.00 $3,019,034.00 $38,292.00 LAC SNF LLC 86.62 30496 3614 5299 $13,705,480.00 $6,811,696.00 $7,221,302.00
    1375809 56317 GLENOAKS CONVALESCENT HOSPITAL 409 W. GLENOAKS BLVD GLENDALE CA 91202 LOS ANGELES 31084 U 2022-09-01 2023-08-31 4 539 696 29931 31166 99 36135 14 10 166 190 38.50 69.60 164.03 11 8 159 178 539 696 29931 31166 99 36135 14 10 166 190 $2,951,308.00 $3,645,203.00 $93,313.00 $130,686.00 $430,941.00 $2,951,308.00 $48,723.00 $-207,808.00 $824,389.00 $17,718.00 $141,200.00 $740,063.00 $49,506.00 $1,357,343.00 $879,090.00 $1,668,659.00 $1,654,698.00 $137,913.00 $38,978.00 $1,831,589.00 $1,831,589.00 $-162,930.00 $-162,930.00 $1,668,659.00 $6,267,239.00 $6,360,552.00 $6,360,552.00 $-89,419.00 $6,449,971.00 $6,596,511.00 $-146,540.00 $7,570.00 $-138,970.00 $-138,970.00 $386,708.00 LEVINE, HENRY 86.87 696 539 29931 $6,360,552.00 $2,951,308.00 $3,645,203.00
    1362379 56111 GRIFFITH PARK REHABILITATION CENTER 201 ALLEN AVENUE GLENDALE CA 91201 LOS ANGELES 31084 U 2022-01-01 2022-12-31 6 10848 15235 510 26593 94 34310 173 100 4 277 62.71 152.35 96.00 98 42 9 149 10848 15235 510 26593 94 34310 173 100 4 277 $4,973,686.00 $6,672,516.00 $2,572,805.00 $1,798,657.00 $1,047,877.00 $4,973,686.00 $834,951.00 $1,679,305.00 $2,439,455.00 $390,000.00 $330,483.00 $4,415,001.00 $1,047,357.00 $7,357.00 $19,533.00 $797,853.00 $2,618,873.00 $2,618,873.00 $7,831,727.00 $1,772,857.00 $424,045.00 $68,873.00 $1,327,479.00 $3,593,254.00 $51,750.00 $51,750.00 $3,645,004.00 $4,186,723.00 $4,186,723.00 $7,831,727.00 $7,928,728.00 $10,499,101.00 $10,499,101.00 $-3,192,704.00 $13,691,805.00 $11,646,202.00 $2,045,603.00 $199,790.00 $2,245,393.00 $2,245,393.00 $9,310,369.00 GRIFFITH PARK REHABILITATION CENTER LLC 90.32 15235 10848 510 $10,499,101.00 $4,973,686.00 $6,672,516.00
    1371038 55845 LEISURE GLEN POST ACUTE CARE CENTER 330 MISSION ROAD GLENDALE CA 91205 LOS ANGELES 31084 U 2022-08-01 2022-12-31 6 5489 10218 69 15776 125 19125 118 32 8 158 46.52 319.31 99.85 95 6 1 102 5489 10218 69 15776 125 19125 118 32 8 158 $2,948,479.00 $2,649,675.00 $2,398,687.00 $643,166.00 $461,306.00 $2,948,479.00 $72,028.00 $233,966.00 $2,242,730.00 $67,748.00 $485,845.00 $3,233,793.00 $17,500.00 $3,251,293.00 $580,318.00 $329,335.00 $107,088.00 $667,555.00 $1,684,296.00 $212,217.00 $212,217.00 $1,896,513.00 $1,354,780.00 $1,354,780.00 $3,251,293.00 $4,498,674.00 $6,897,361.00 $6,897,361.00 $-382,382.00 $7,279,743.00 $5,598,154.00 $1,681,589.00 $54,520.00 $1,736,109.00 $1,354,580.00 $4,374,325.00 ARUTYUNYAN, MARY 104.17 10218 5489 69 $6,897,361.00 $2,948,479.00 $2,649,675.00
    1365026 55899 ROYAL PALMS POST ACUTE 330 W BROADWAY GLENDALE CA 91204 LOS ANGELES 31084 U 2022-01-01 2022-12-31 4 4627 28886 6595 40108 140 51100 51 14 193 258 90.73 2063.29 155.46 59 6 201 266 4627 28886 6595 40108 140 51100 51 14 193 258 $7,939,978.00 $7,319,340.00 $4,965,322.00 $1,435,125.00 $1,360,155.00 $7,939,978.00 $336,480.00 $-190,017.00 $4,008,508.00 $456,559.00 $202,427.00 $4,838,880.00 $173,973.00 $43,272.00 $169,455.00 $2,901,073.00 $2,901,073.00 $7,909,408.00 $2,642,936.00 $1,023,139.00 $172,469.00 $2,162,991.00 $6,001,535.00 $-916,598.00 $-916,598.00 $5,084,937.00 $2,824,471.00 $2,824,471.00 $7,909,408.00 $10,708,187.00 $15,620,165.00 $15,620,165.00 $1,249,788.00 $14,370,377.00 $15,259,318.00 $-888,941.00 $1,661,458.00 $772,517.00 $772,517.00 $3,578,072.00 PALMS LICENSEE 3 LLC 94.07 28886 4627 6595 $15,620,165.00 $7,939,978.00 $7,319,340.00
    1366228 555616 WINDSOR MANOR 1230 E. WINDSOR RD GLENDALE CA 91205 LOS ANGELES 31084 U 2022-01-01 2022-12-31 2 1927 326 38449 40702 137 50005 58 6 111 175 33.22 54.33 61.88 49 29 78 1927 326 4740 6993 28 10220 58 6 49 113 $5,081,260.00 $7,734,873.00 $674,227.00 $354,227.00 $1,094,440.00 $5,081,260.00 $594,214.00 $2,000.00 $1,166,953.00 $151,921.00 $19,139.00 $73,249.00 $1,109,420.00 $581,991.00 $190,813.00 $2,871,160.00 $10,211,824.00 $1,592,607.00 $623,222.00 $6,027,524.00 $65,598.00 $65,598.00 $7,202,542.00 $70,279.00 $233,971.00 $1,240,258.00 $12,169,732.00 $13,714,240.00 $-17,880.00 $1,402,333.00 $1,384,453.00 $15,098,693.00 $-7,896,151.00 $-7,896,151.00 $7,202,542.00 $8,855,970.00 $9,530,197.00 $9,530,197.00 $-94,223.00 $9,624,420.00 $12,816,133.00 $-3,191,713.00 $1,148,863.00 $-2,042,850.00 $-2,042,850.00 $1,549,089.00 ASHJIAN, NAZAR 77.50 326 1927 38449 $9,530,197.00 $5,081,260.00 $7,734,873.00