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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1358838 | 155777 | CREASY SPRINGS HEALTH CAMPUS | 1750 S. CREASY LANE | LAFAYETTE | IN | 47905-4911 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 4 | 6179 | 6984 | 24233 | 37396 | 133 | 48545 | 196 | 34 | 404 | 634 | 31.53 | 205.41 | 44.06 | 268 | 26 | 174 | 468 | 6179 | 6984 | 8515 | 21678 | 71 | 25915 | 196 | 34 | 262 | 492 | $4,995,116.00 | $6,524,817.00 | $1,418,044.00 | $1,222,396.00 | $1,111,931.00 | $4,995,116.00 | $624,373.00 | $17,639,109.00 | $806,037.00 | $32,055.00 | $116,701.00 | $58,850.00 | $18,651,439.00 | $2,362,370.00 | $68,301.00 | $20,378,048.00 | $39,689.00 | $1,077,907.00 | $19,367,423.00 | $8,210,051.00 | $8,210,051.00 | $46,228,913.00 | $192,072.00 | $260,881.00 | $7,474.00 | $589,562.00 | $1,049,989.00 | 15531177.00 | $-63,771.00 | $15,467,406.00 | $16,517,395.00 | $29,711,518.00 | $29,711,518.00 | $46,228,913.00 | $12,622,648.00 | $14,805,559.00 | $14,805,559.00 | $1,209,744.00 | $13,595,815.00 | $11,519,933.00 | $2,075,882.00 | $156,819.00 | $2,232,701.00 | $2,232,701.00 | $4,130,733.00 | $93,184.00 | TRILOGY HEALTHCARE OF LAFAYETTE LLC | 82.11 | 6984 | 6179 | 24233 | $14,805,559.00 | $4,995,116.00 | $6,524,817.00 | ||||||||||||||||||||||||||||||||||||
| 1360211 | 155775 | CUMBERLAND POINTE HEALTH CAMPUS | 1051 CUMBERLAND AVENUE | WEST LAFAYETTE | IN | 47906-1447 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 4 | 1706 | 9588 | 24874 | 36168 | 197 | 71905 | 52 | 52 | 201 | 305 | 32.81 | 184.38 | 92.43 | 80 | 33 | 87 | 200 | 1706 | 9588 | 10057 | 21351 | 71 | 25915 | 52 | 52 | 127 | 231 | $4,509,856.00 | $4,990,446.00 | $843,606.00 | $761,642.00 | $970,427.00 | $4,509,856.00 | $399,662.00 | $15,948,906.00 | $538,486.00 | $64,472.00 | $120,540.00 | $38,942.00 | $16,607,870.00 | $1,645,000.00 | $259,671.00 | $14,234,090.00 | $1,678,141.00 | $13,404,283.00 | $26,270,612.00 | $26,270,612.00 | $56,282,765.00 | $202,512.00 | $303,591.00 | $5,697.00 | $402,153.00 | $913,953.00 | 8845524.00 | $103,665.00 | $8,949,189.00 | $9,863,142.00 | $46,419,623.00 | $46,419,623.00 | $56,282,765.00 | $9,726,825.00 | $10,570,430.00 | $10,570,430.00 | $633,944.00 | $9,936,486.00 | $9,500,302.00 | $436,184.00 | $238,790.00 | $674,974.00 | $674,974.00 | $1,122,798.00 | $13,815.00 | WARD, CAROL | 81.55 | 9588 | 1706 | 24874 | $10,570,430.00 | $4,509,856.00 | $4,990,446.00 | |||||||||||||||||||||||||||||||||||||
| 1359426 | 155402 | HERITAGE HEALTHCARE | 3401 SOLDIERS HOME ROAD | WEST LAFAYETTE | IN | 47906 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 9 | 3059 | 17259 | 2530 | 22848 | 109 | 39785 | 41 | 110 | 76 | 227 | 74.61 | 156.90 | 100.65 | 76 | 107 | 41 | 224 | 3059 | 17259 | 2530 | 22848 | 109 | 39785 | 41 | 110 | 76 | 227 | $3,330,253.00 | $4,712,510.00 | $2,056,077.00 | $912,323.00 | $548,338.00 | $3,330,253.00 | $1,754,176.00 | $658,209.00 | $1,004.00 | $701,550.00 | $267,817.00 | $64,588.00 | $1,280,212.00 | $65,173.00 | $24,435.00 | $62,192.00 | $80,344.00 | $80,810.00 | $1,423,214.00 | $1,123,740.00 | $57,740.00 | $6,980.00 | $1,188,460.00 | $83,590.00 | $120,349.00 | $1,308,809.00 | $114,405.00 | $114,405.00 | $1,423,214.00 | $7,149,056.00 | $9,162,303.00 | $9,162,303.00 | $834,532.00 | $8,327,771.00 | $8,042,859.00 | $284,912.00 | $93,344.00 | $378,256.00 | $378,256.00 | $1,840,438.00 | $322,249.00 | LAFAYETTE MEDICAL INVESTORS LIMITED PARTNERSHIP | 59.61 | 17259 | 3059 | 2530 | $9,162,303.00 | $3,330,253.00 | $4,712,510.00 | |||||||||||||||||||||||||||||||||||||||||
| 1374672 | 155787 | INDIANA VETERANS HOME | 3851 RIVER ROAD | WEST LAFAYETTE | IN | 47096-3762 | TIPPECANOE | 29200 | U | 2022-07-01 | 2023-06-30 | 10 | 704 | 24235 | 16484 | 41423 | 364 | 132860 | 8 | 29 | 35 | 72 | 88.00 | 835.69 | 562.17 | 13 | 8 | 54 | 75 | 704 | 24235 | 14975 | 39914 | 284 | 103660 | 8 | 29 | 34 | 71 | $7,498,996.00 | $19,787,120.00 | $1,833,617.00 | $2,315,503.00 | $7,498,996.00 | $6,007,431.00 | $27,242,171.00 | $27,242,171.00 | $27,242,171.00 | $1,028.00 | $1,028.00 | $1,028.00 | $27,241,143.00 | $27,241,143.00 | $27,242,171.00 | $20,874,227.00 | $22,707,843.00 | $22,707,843.00 | $1,515,819.00 | $21,192,024.00 | $27,286,116.00 | $-6,094,092.00 | $7,772,872.00 | $1,678,780.00 | $1,678,780.00 | $402,326.00 | $5,317.00 | STATE OF INDIANA AUDITOR OF STATE | 52.45 | 24235 | 704 | 16484 | $22,707,843.00 | $7,498,996.00 | $19,787,120.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1364703 | 155243 | MAJESTIC CARE OF LAFAYETTE | 300 WINDY HILL DRIVE | LAFAYETTE | IN | 47905 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 9 | 4691 | 26713 | 5709 | 37113 | 122 | 44530 | 32 | 131 | 118 | 281 | 146.59 | 203.92 | 132.07 | 124 | 164 | 125 | 413 | 4691 | 26713 | 5709 | 37113 | 122 | 44530 | 32 | 131 | 118 | 281 | $2,755,990.00 | $12,589,516.00 | $1,415,109.00 | $1,387,970.00 | $349,248.00 | $2,755,990.00 | $4,875,226.00 | $847,272.00 | $3,067,033.00 | $152,598.00 | $207,598.00 | $4,946,229.00 | $31,295.00 | $100,130.00 | $116,878.00 | $5,063,107.00 | $706,551.00 | $105,999.00 | $83,211.00 | $816,227.00 | $2,162,644.00 | $1,713,282.00 | $1,713,282.00 | $3,875,926.00 | $1,187,181.00 | $1,187,181.00 | $5,063,107.00 | $17,165,576.00 | $18,588,550.00 | $18,588,550.00 | $1,504,263.00 | $17,084,287.00 | $15,345,506.00 | $1,738,781.00 | $7,706.00 | $1,746,487.00 | $1,746,487.00 | $3,095,459.00 | $479,003.00 | MAJESTIC CARE OF LAFAYETTE LLC | 77.62 | 26713 | 4691 | 5709 | $18,588,550.00 | $2,755,990.00 | $12,589,516.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1357801 | 155604 | MH DBA ST ANTHONY REHAB & NSG CTR | 1205 N. 14TH STREET | LAFAYETTE | IN | 47904-2024 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 9 | 4540 | 22577 | 27117 | 120 | 43800 | 171 | 192 | 363 | 26.55 | 74.70 | 195 | 166 | 361 | 4540 | 22577 | 27117 | 120 | 43800 | 171 | 192 | 363 | $5,331,543.00 | $5,488,698.00 | $2,324,037.00 | $1,487,121.00 | $731,348.00 | $5,331,543.00 | $66,500.00 | $3,390,426.00 | $1,263,244.00 | $1,873.00 | $52,857.00 | $4,297,981.00 | $4,297,981.00 | $169,809.00 | $3,852,149.00 | $4,021,958.00 | $4,021,958.00 | $276,023.00 | $276,023.00 | $4,297,981.00 | $10,119,876.00 | $12,499,810.00 | $12,499,810.00 | $1,390,707.00 | $11,109,103.00 | $10,820,241.00 | $288,862.00 | $97,141.00 | $386,003.00 | $386,003.00 | $2,807,988.00 | $43,089.00 | ST ANTHONY HEALTH CARE INC | 64.83 | 4540 | 22577 | $12,499,810.00 | $5,331,543.00 | $5,488,698.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1364876 | 155121 | ROSEWALK VILLAGE AT LAFAYETTE | 1903 UNION ST. | LAFAYETTE | IN | 47904 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 13 | 2922 | 26210 | 6017 | 35149 | 141 | 51465 | 19 | 250 | 27 | 296 | 153.79 | 104.84 | 118.75 | 19 | 205 | 23 | 247 | 2922 | 26210 | 6017 | 35149 | 141 | 51465 | 19 | 250 | 27 | 296 | $5,377,587.00 | $5,740,379.00 | $1,405,861.00 | $956,551.00 | $909,022.00 | $5,377,587.00 | $198,251.00 | $166,968,573.00 | $49,215,717.00 | $4,793,612.00 | $220,977,902.00 | $12,882,231.00 | $179,049,332.00 | $96,521,947.00 | $71,145,744.00 | $400,236,628.00 | $400,236,628.00 | $692,360,274.00 | $6,570,869.00 | $20,000,267.00 | $14,252,408.00 | $40,823,544.00 | $409,332,376.00 | $409,332,376.00 | $450,155,920.00 | $242,204,354.00 | $242,204,354.00 | $692,360,274.00 | $9,381,634.00 | $10,787,495.00 | $10,787,495.00 | $597,972.00 | $10,189,523.00 | $11,117,966.00 | $-928,443.00 | $34,318.00 | $-894,125.00 | $-894,125.00 | $1,840,619.00 | $306,715.00 | ANDERSON, NATHAN | 75.96 | 26210 | 2922 | 6017 | $10,787,495.00 | $5,377,587.00 | $5,740,379.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1359039 | 155094 | ST. MARY HEALTHCARE CENTER | 2201 CASON STREET | LAFAYETTE | IN | 47904-2613 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 4 | 1862 | 12973 | 9336 | 24171 | 79 | 28835 | 37 | 56 | 86 | 179 | 50.32 | 231.66 | 135.03 | 54 | 48 | 65 | 167 | 1862 | 12973 | 9336 | 24171 | 79 | 28835 | 37 | 56 | 86 | 179 | $3,330,238.00 | $3,390,869.00 | $505,691.00 | $472,311.00 | $650,903.00 | $3,330,238.00 | $196,512.00 | $16,512,338.00 | $598,399.00 | $11,941.00 | $62,476.00 | $22,804.00 | $17,192,089.00 | $348,000.00 | $45,111.00 | $2,981,037.00 | $12,729.00 | $1,268,445.00 | $3,039,412.00 | $7,106,550.00 | $7,106,550.00 | $27,338,051.00 | $159,754.00 | $211,479.00 | $5,093.00 | $172,419.00 | $548,745.00 | 5057845.00 | $-87,941.00 | $4,969,904.00 | $5,518,649.00 | $21,819,402.00 | $21,819,402.00 | $27,338,051.00 | $8,158,973.00 | $8,664,663.00 | $8,664,663.00 | $429,449.00 | $8,235,214.00 | $6,721,107.00 | $1,514,107.00 | $216,990.00 | $1,731,097.00 | $1,731,097.00 | $1,216,071.00 | $14,471.00 | WITHAM MEMORIAL HOSPITAL | 78.86 | 12973 | 1862 | 9336 | $8,664,663.00 | $3,330,238.00 | $3,390,869.00 | ||||||||||||||||||||||||||||||||||||
| 1372182 | 155829 | THE SPRINGS AT LAFAYETTE | 2402 SOUTH STREET | LAFAYETTE | IN | 47904-3063 | TIPPECANOE | 29200 | U | 2022-01-01 | 2022-12-31 | 4 | 5946 | 6103 | 18064 | 30113 | 100 | 36500 | 195 | 38 | 341 | 574 | 30.49 | 160.61 | 39.58 | 249 | 34 | 193 | 476 | 5946 | 6103 | 8175 | 20224 | 70 | 25550 | 195 | 38 | 278 | 511 | $3,795,498.00 | $5,732,031.00 | $1,377,573.00 | $1,200,650.00 | $836,872.00 | $3,795,498.00 | $545,148.00 | $2,619.00 | $1,059,442.00 | $22,021.00 | $68,141.00 | $3,541.00 | $1,170,323.00 | $257,284.00 | $15,577.00 | $179,557.00 | $446,097.00 | $12,898,861.00 | $12,898,861.00 | $14,515,281.00 | $116,767.00 | $206,614.00 | $5,251.00 | $1,133,068.00 | $1,461,700.00 | $10,101,062.00 | $10,101,062.00 | $11,562,762.00 | $2,952,519.00 | $2,952,519.00 | $14,515,281.00 | $11,041,997.00 | $12,419,569.00 | $12,419,569.00 | $1,229,648.00 | $11,189,921.00 | $9,527,529.00 | $1,662,392.00 | $-399,934.00 | $1,262,458.00 | $1,262,458.00 | $4,054,557.00 | $144,783.00 | RHS PARTNERS OF LAFAYETTE LLC | 53.14 | 6103 | 5946 | 18064 | $12,419,569.00 | $3,795,498.00 | $5,732,031.00 | |||||||||||||||||||||||||||||||||||||||
| 1373403 | 155725 | UNIVERSITY PLACE HEALTH CENTER | 1700 LINDBERG ROAD | WEST LAFAYETTE | IN | 47906 | TIPPECANOE | 29200 | U | 2022-07-01 | 2023-06-30 | 2 | 4227 | 365 | 5388 | 9980 | 30 | 10950 | 143 | 1 | 58 | 202 | 29.56 | 365.00 | 49.41 | 137 | 2 | 59 | 198 | 4227 | 365 | 5388 | 9980 | 30 | 10950 | 143 | 1 | 58 | 202 | $3,025,200.00 | $9,078,515.00 | $4,745,184.00 | $1,054,883.00 | $596,163.00 | $3,025,200.00 | $1,198,243.00 | $15,586,785.00 | $523,372.00 | $159,317.00 | $49,789.00 | $156,215.00 | $16,174,544.00 | $2,659,445.00 | $2,330,185.00 | $29,805,515.00 | $2,784,607.00 | $9,978,853.00 | $701,678.00 | $701,678.00 | $26,855,075.00 | $22,037,084.00 | $288,694.00 | $11,087.00 | $423,423.00 | $22,760,288.00 | $18,193,280.00 | $18,193,280.00 | $40,953,568.00 | $-14,098,493.00 | $-14,098,493.00 | $26,855,075.00 | $5,719,968.00 | $19,037,925.00 | $19,037,925.00 | $5,628,571.00 | $13,409,354.00 | $12,103,715.00 | $1,305,639.00 | $1,135,806.00 | $2,441,445.00 | $2,441,445.00 | $2,439,150.00 | $27,812.00 | UNIVERSITY PLACE INC | 88.67 | 365 | 4227 | 5388 | $19,037,925.00 | $3,025,200.00 | $9,078,515.00 | ||||||||||||||||||||||||||||||||||||||
| 1370939 | 155177 | WESTMINSTER VILLAGE | 2741 NORTH SALISBURY STREET | WEST LAFAYETTE | IN | 47906 | TIPPECANOE | 29200 | U | 2022-07-01 | 2023-06-30 | 2 | 2932 | 434 | 20915 | 24281 | 72 | 26280 | 93 | 1 | 83 | 177 | 31.53 | 434.00 | 137.18 | 90 | 85 | 175 | 2932 | 434 | 20915 | 24281 | 72 | 26280 | 93 | 1 | 83 | 177 | $10,435,675.00 | $17,081,108.00 | $1,760,404.00 | $1,472,658.00 | $1,628,534.00 | $10,435,675.00 | $1,015,107.00 | $7,556,922.00 | $652,149.00 | $132,581.00 | $109,275.00 | $8,905,927.00 | $2,939,505.00 | $8,251,698.00 | $104,334,890.00 | $11,172,358.00 | $74,229,547.00 | $10,451,508.00 | $6,356,396.00 | $16,807,904.00 | $99,943,378.00 | $983,975.00 | $704,855.00 | $2,016,000.00 | $763,391.00 | $442,185.00 | $4,910,406.00 | $54,467,948.00 | $50,256,531.00 | $104,724,479.00 | $109,634,885.00 | $-9,691,507.00 | $-9,691,507.00 | $99,943,378.00 | $9,406,847.00 | $22,676,809.00 | $22,676,809.00 | $-16,894.00 | $22,693,703.00 | $27,516,783.00 | $-4,823,080.00 | $4,988,954.00 | $165,874.00 | $165,874.00 | $1,687,130.00 | GENTRY, DON | 85.97 | 434 | 2932 | 20915 | $22,676,809.00 | $10,435,675.00 | $17,081,108.00 |
