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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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| 1363318 | 115680 | AHN CARLYLE PLACE | 5300 ZEBULON ROAD | MACON | GA | 31210 | BIBB | 31420 | U | 2022-01-01 | 2022-12-31 | 2 | 1459 | 9105 | 10564 | 40 | 14600 | 35 | 48 | 83 | 41.69 | 127.28 | 35 | 42 | 77 | 1459 | 9105 | 10564 | 40 | 14600 | 35 | 48 | 83 | $6,905,666.00 | $13,228,573.00 | $1,033,193.00 | $664,903.00 | $1,562,821.00 | $6,905,666.00 | $1,578,905.00 | $446,269.00 | $230,512.00 | $32,609.00 | $-796,644.00 | $1,732,834.00 | $3,959,852.00 | $259,472.00 | $70,985,910.00 | $5,006,544.00 | $33,127,655.00 | $80,725,959.00 | $6,316,081.00 | $87,042,040.00 | $119,373,051.00 | $422,014.00 | $994,232.00 | $38,069,314.00 | $2,469,759.00 | $41,955,319.00 | 31116067.00 | $124,759.00 | $31,240,826.00 | $73,196,145.00 | $46,176,906.00 | $46,176,906.00 | $119,373,051.00 | $2,404,944.00 | $3,438,137.00 | $3,438,137.00 | $361,796.00 | $3,076,341.00 | $20,134,239.00 | $-17,057,898.00 | $480,280.00 | $-16,577,618.00 | $-16,577,618.00 | $753,935.00 | BIEK, DAVID | 74.25 | 1459 | 9105 | $3,438,137.00 | $6,905,666.00 | $13,228,573.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1368945 | 115728 | ARCHWAY HEALTH AND REHABILITATION | 4373 HOUSTON AVE | MACON | GA | 31206 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 2 | 801 | 29021 | 29822 | 100 | 36500 | 3 | 27 | 30 | 267.00 | 994.07 | 4 | 26 | 30 | 801 | 29021 | 29822 | 100 | 36500 | 3 | 27 | 30 | $2,853,275.00 | $5,262,165.00 | $523,535.00 | $422,083.00 | $481,490.00 | $2,853,275.00 | $1,198,492.00 | $1,000.00 | $575,672.00 | $5,627.00 | $250,000.00 | $4,474,242.00 | $1,635,598.00 | $919,122.00 | $1,062,486.00 | $2,189,063.00 | $2,189,063.00 | $7,725,791.00 | $180,633.00 | $108,046.00 | $2,215,519.00 | $2,498,647.00 | $2,498,647.00 | $5,227,144.00 | $5,227,144.00 | $7,725,791.00 | $7,842,276.00 | $8,363,583.00 | $8,363,583.00 | $580,147.00 | $7,783,436.00 | $8,115,440.00 | $-332,004.00 | $52,029.00 | $-279,975.00 | $-279,975.00 | $416,557.00 | $51,371.00 | COBB, LESLEY | 89.90 | 801 | 29021 | $8,363,583.00 | $2,853,275.00 | $5,262,165.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 1371376 | 115346 | BOLINGREEN HEALTH AND REHABILITATION | 529 BOLINGREEN DR. | MACON | GA | 31210 | MONROE | 31420 | U | 2022-07-01 | 2023-06-30 | 2 | 609 | 21106 | 21715 | 121 | 44165 | 10 | 39 | 49 | 60.90 | 443.16 | 14 | 30 | 44 | 609 | 21106 | 21715 | 121 | 44165 | 10 | 39 | 49 | $2,522,631.00 | $3,957,305.00 | $354,380.00 | $367,128.00 | $443,925.00 | $2,522,631.00 | $988,111.00 | $2,400.00 | $1,963,913.00 | $1,625,857.00 | $4,720.00 | $2,068,516.00 | $5,475.00 | $615,379.00 | $363,201.00 | $233,889.00 | $2,302,405.00 | $168,431.00 | $89,494.00 | $257,846.00 | $257,846.00 | $2,044,559.00 | $2,044,559.00 | $2,302,405.00 | $4,881,635.00 | $5,236,014.00 | $5,236,014.00 | $407,832.00 | $4,828,182.00 | $6,479,936.00 | $-1,651,754.00 | $283,993.00 | $-1,367,761.00 | $-1,367,761.00 | $328,744.00 | $51,058.00 | GERARD, JASON | 63.64 | 609 | 21106 | $5,236,014.00 | $2,522,631.00 | $3,957,305.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1373963 | 115652 | CHERRY BLOSSOM HEALTH AND REHABILITA | 3520 KENNETH DRIVE | MACON | GA | 31206 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 2 | 394 | 19923 | 20317 | 82 | 29930 | 3 | 68 | 71 | 131.33 | 286.15 | 8 | 64 | 72 | 394 | 19923 | 20317 | 82 | 29930 | 3 | 68 | 71 | $2,682,290.00 | $3,153,973.00 | $517,380.00 | $455,272.00 | $491,876.00 | $2,682,290.00 | $379,145.00 | $1,000.00 | $1,698,762.00 | $1,428,980.00 | $6,308.00 | $2,159,211.00 | $163,981.00 | $140,701.00 | $88,164.00 | $471,593.00 | $471,593.00 | $2,718,968.00 | $554,544.00 | $94,335.00 | $639,839.00 | $639,839.00 | $2,079,129.00 | $2,079,129.00 | $2,718,968.00 | $4,752,268.00 | $5,269,646.00 | $5,269,646.00 | $766,680.00 | $4,502,966.00 | $5,836,263.00 | $-1,333,297.00 | $94,159.00 | $-1,239,138.00 | $-1,239,138.00 | $202,376.00 | $35,886.00 | LAWSON, RYAN | 76.46 | 394 | 19923 | $5,269,646.00 | $2,682,290.00 | $3,153,973.00 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1371582 | 115656 | EASTVIEW NURSING CENTER | 3020 JEFFERSONVILLE ROAD | MACON | GA | 31217 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 4 | 1610 | 17966 | 19576 | 92 | 33580 | 12 | 35 | 47 | 134.17 | 416.51 | 23 | 37 | 60 | 1610 | 17966 | 19576 | 92 | 33580 | 12 | 35 | 47 | $1,413,970.00 | $3,471,016.00 | $533,734.00 | $375,927.00 | $238,604.00 | $1,413,970.00 | $200,204.00 | $559,448.00 | $152,736.00 | $40,927.00 | $50,094.00 | $1,290,448.00 | $148,770.00 | $236,744.00 | $107,032.00 | $1,397,480.00 | $302,320.00 | $106,957.00 | $21,506.00 | $430,783.00 | $430,783.00 | $966,697.00 | $966,697.00 | $1,397,480.00 | $3,938,916.00 | $4,472,650.00 | $4,472,650.00 | $-115,690.00 | $4,588,340.00 | $4,884,986.00 | $-296,646.00 | $465,148.00 | $168,502.00 | $159,764.00 | $732,504.00 | $115,311.00 | HUGHES, LORI | 61.30 | 1610 | 17966 | $4,472,650.00 | $1,413,970.00 | $3,471,016.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1361875 | 115636 | FOUNTAIN BLUE REHAB AND NURSING | 3051 WHITESIDE RD | MACON | GA | 31216 | BIBB | 31420 | U | 2022-01-01 | 2022-12-31 | 4 | 2616 | 17412 | 4503 | 24531 | 143 | 52195 | 30 | 64 | 94 | 188 | 87.20 | 272.06 | 130.48 | 65 | 44 | 87 | 196 | 2616 | 17412 | 4503 | 24531 | 143 | 52195 | 30 | 64 | 94 | 188 | $3,290,269.00 | $2,863,999.00 | $550,389.00 | $626,449.00 | $541,241.00 | $3,290,269.00 | $200,422.00 | $667,559.00 | $115,492.00 | $104,415.00 | $681,500.00 | $1,272,983.00 | $189,846.00 | $149,151.00 | $241,411.00 | $1,514,394.00 | $443,700.00 | $138,148.00 | $7,550.00 | $-77,456.00 | $511,942.00 | $511,942.00 | $1,002,452.00 | $1,002,452.00 | $1,514,394.00 | $6,379,556.00 | $6,929,944.00 | $6,929,944.00 | $798,974.00 | $6,130,970.00 | $6,281,668.00 | $-150,698.00 | $999,578.00 | $848,880.00 | $848,880.00 | $1,648,443.00 | $191,768.00 | MACON HOLDINGS GROUP LLC | 56.85 | 17412 | 2616 | 4503 | $6,929,944.00 | $3,290,269.00 | $2,863,999.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1370183 | 115362 | MACON REHAB & HEALTHCARE | 505 COLISEUM DRIVE | MACON | GA | 31217 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 5 | 4184 | 26884 | 31068 | 100 | 36500 | 55 | 226 | 281 | 76.07 | 110.56 | 64 | 180 | 244 | 4184 | 26884 | 31068 | 100 | 36500 | 55 | 226 | 281 | $4,208,717.00 | $5,826,776.00 | $4,314,859.00 | $1,143,487.00 | $598,121.00 | $4,208,717.00 | $8,532.00 | $1,075,714.00 | $166,366.00 | $190,991.00 | $31,155,300.00 | $32,247,357.00 | $22,639.00 | $25,794.00 | $160,831.00 | $111,454.00 | $180,807.00 | $2,154,735.00 | $34,513,546.00 | $236,896.00 | $180,055.00 | $39,929.00 | $125,426.00 | $582,306.00 | $31,694,434.00 | $31,694,434.00 | $32,276,740.00 | $2,236,806.00 | $2,236,806.00 | $34,513,546.00 | $7,179,182.00 | $13,362,225.00 | $13,362,225.00 | $4,468,422.00 | $8,893,803.00 | $10,035,493.00 | $-1,141,690.00 | $34,830.00 | $-1,106,860.00 | $-1,207,139.00 | $2,560,972.00 | $660,903.00 | WHS APS HOLDING COMPANY II, LLC | 91.90 | 4184 | 26884 | $13,362,225.00 | $4,208,717.00 | $5,826,776.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1372548 | 115692 | MEDICAL MANAGMENT HEALTH & REHAB | 1509 CEDAR AVENUE | MACON | GA | 31420 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 4 | 1625 | 27665 | 29290 | 100 | 36500 | 41 | 8 | 49 | 39.63 | 597.76 | 47 | 18 | 65 | 1625 | 27665 | 29290 | 100 | 36500 | 41 | 8 | 49 | $3,100,624.00 | $3,024,119.00 | $441,127.00 | $331,245.00 | $568,884.00 | $3,100,624.00 | $-51,969.00 | $71,425.00 | $30,792.00 | $-193,244.00 | $231,774.00 | $86,945.00 | $185,728.00 | $26,883.00 | $1,064,569.00 | $1,057,053.00 | $2,156,827.00 | $131,069.00 | $19,436.00 | $176,166.00 | $21,854.00 | $2,505,352.00 | $2,972.00 | $18,420.00 | $21,392.00 | $2,526,744.00 | $-1,469,691.00 | $-1,469,691.00 | $1,057,053.00 | $5,339,908.00 | $5,781,034.00 | $5,781,034.00 | $153,661.00 | $5,627,373.00 | $6,124,743.00 | $-497,370.00 | $239,933.00 | $-257,437.00 | $-258,485.00 | $809,859.00 | $159,964.00 | MCCLAIN, CHERYL | 83.10 | 1625 | 27665 | $5,781,034.00 | $3,100,624.00 | $3,024,119.00 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 1373498 | 115391 | PRUITTHEALTH – EASTSIDE LLC | 2795 FINNEY CIRCLE | MACON | GA | 31217 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 6 | 165 | 22022 | 2931 | 25118 | 90 | 32850 | 4 | 28 | 38 | 70 | 41.25 | 786.50 | 358.83 | 7 | 10 | 41 | 58 | 165 | 22022 | 2931 | 25118 | 90 | 32850 | 4 | 28 | 38 | 70 | $2,738,047.00 | $3,244,564.00 | $587,836.00 | $475,519.00 | $383,343.00 | $2,738,047.00 | $83,512.00 | $496,056.00 | $68,723.00 | $6,534.00 | $633,144.00 | $247,244.00 | $124,824.00 | $301,613.00 | $602,599.00 | $10,317.00 | $10,317.00 | $1,246,060.00 | $298,895.00 | $253,833.00 | $177.00 | $14,550.00 | $567,455.00 | $567,455.00 | $678,605.00 | $678,605.00 | $1,246,060.00 | $7,279,042.00 | $7,866,878.00 | $7,866,878.00 | $2,392,955.00 | $5,473,923.00 | $5,982,611.00 | $-508,688.00 | $162,708.00 | $-345,980.00 | $-345,980.00 | $91,617.00 | $3,307.00 | DAVIS, DUANE | 86.78 | 22022 | 165 | 2931 | $7,866,878.00 | $2,738,047.00 | $3,244,564.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1372630 | 115288 | PRUITTHEALTH – MACON LLC | 2255 ATHON ROAD | MACON | GA | 31204 | MACON | 99911 | R | 2022-07-01 | 2023-06-30 | 6 | 1257 | 44339 | 5702 | 51298 | 228 | 83220 | 43 | 124 | 117 | 284 | 29.23 | 357.57 | 180.63 | 36 | 46 | 144 | 226 | 1257 | 44339 | 5702 | 51298 | 228 | 83220 | 43 | 124 | 117 | 284 | $7,384,737.00 | $8,323,611.00 | $1,917,566.00 | $1,650,518.00 | $889,233.00 | $7,384,737.00 | $209,807.00 | $1,191,485.00 | $383,056.00 | $8,659.00 | $-6,470,992.00 | $7,170.00 | $1,576,146.00 | $1,545,999.00 | $1,428,044.00 | $1,030,409.00 | $17,028.00 | $17,028.00 | $-5,423,555.00 | $799,345.00 | $713,539.00 | $1,512.00 | $24,940.00 | $1,539,336.00 | $1,539,336.00 | $-6,962,891.00 | $-6,962,891.00 | $-5,423,555.00 | $15,078,821.00 | $16,996,387.00 | $16,996,387.00 | $2,654,603.00 | $14,341,784.00 | $15,708,348.00 | $-1,366,564.00 | $620,038.00 | $-746,526.00 | $-746,526.00 | $855,680.00 | $67,816.00 | READD, ANGELA | 68.64 | 44339 | 1257 | 5702 | $16,996,387.00 | $7,384,737.00 | $8,323,611.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1372660 | 115394 | PRUITTHEALTH – PEAKE LLC | 1060 OLD CLINTON ROAD | MACON | GA | 31211 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 6 | 2636 | 30787 | 8121 | 41544 | 122 | 44530 | 108 | 57 | 274 | 439 | 24.41 | 540.12 | 94.63 | 127 | 10 | 274 | 411 | 2636 | 30787 | 8121 | 41544 | 122 | 44530 | 108 | 57 | 274 | 439 | $4,952,444.00 | $6,806,340.00 | $1,949,848.00 | $1,682,428.00 | $649,839.00 | $4,952,444.00 | $64,588.00 | $1,243,556.00 | $583,969.00 | $6,424.00 | $1,950,736.00 | $6,604.00 | $831,516.00 | $99,266.00 | $218,630.00 | $105,723.00 | $9,400.00 | $9,400.00 | $2,065,859.00 | $405,250.00 | $512,194.00 | $3,467.00 | $69,407.00 | $990,318.00 | $990,318.00 | $1,075,541.00 | $1,075,541.00 | $2,065,859.00 | $12,708,882.00 | $14,658,730.00 | $14,658,730.00 | $2,368,416.00 | $12,290,314.00 | $11,758,784.00 | $531,530.00 | $627,461.00 | $1,158,991.00 | $1,158,991.00 | $1,499,038.00 | $46,465.00 | COLLINS, ALTON | 94.34 | 30787 | 2636 | 8121 | $14,658,730.00 | $4,952,444.00 | $6,806,340.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1370041 | 115295 | ZEBULON PARK HEALTH AND REHABILITATI | 343 PLANTATION WAY | MACON | GA | 31210-9286 | BIBB | 31420 | U | 2022-07-01 | 2023-06-30 | 2 | 4648 | 15068 | 19716 | 66 | 24090 | 134 | 136 | 270 | 34.69 | 73.02 | 160 | 118 | 278 | 4648 | 15068 | 19716 | 66 | 24090 | 134 | 136 | 270 | $2,706,308.00 | $4,174,817.00 | $1,673,434.00 | $1,302,544.00 | $482,546.00 | $2,706,308.00 | $1,077,618.00 | $1,000.00 | $961,176.00 | $5,991.00 | $968,167.00 | $162,816.00 | $404,541.00 | $148,994.00 | $1,117,161.00 | $176,112.00 | $89,981.00 | $298,332.00 | $298,332.00 | $818,829.00 | $818,829.00 | $1,117,161.00 | $5,440,031.00 | $7,113,465.00 | $7,113,465.00 | $64,886.00 | $7,048,579.00 | $6,881,125.00 | $167,454.00 | $125,104.00 | $292,558.00 | $292,558.00 | $2,583,930.00 | $17,448.00 | SAPP, MADISON | 89.24 | 4648 | 15068 | $7,113,465.00 | $2,706,308.00 | $4,174,817.00 |
