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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
    1383707 305079 BH VILLA CREST DBA VILLA CREST NRS & 1276 HANOVER STREET MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-09-01 2022-12-31 4 2621 7020 7260 16901 165 20130 52 44 37 133 50.40 159.55 111.98 78 1 7 86 2621 7020 4133 13774 126 15372 52 44 27 123 $1,768,113.00 $3,640,310.00 $292,562.00 $356,719.00 $292,536.00 $1,768,113.00 $1,476,293.00 $230,802.00 $1,447,178.00 $55,586.00 $182,651.00 $287,123.00 $2,092,168.00 $7,694.00 $2,541.00 $10,016.00 $324,988.00 $1,707,405.00 $3,809,589.00 $1,754,696.00 $401,992.00 $17,730.00 $2,174,418.00 $185,776.00 $1,262,902.00 $3,437,320.00 $372,269.00 $372,269.00 $3,809,589.00 $5,769,839.00 $6,062,401.00 $6,062,401.00 $290,167.00 $5,772,234.00 $5,408,423.00 $363,811.00 $8,458.00 $372,269.00 $372,269.00 $1,588,621.00 OBARA, NATHAN 97.06 7020 2621 7260 $6,062,401.00 $1,768,113.00 $3,640,310.00
    1342930 305038 HACKETT HILL CENTER 191 HACKETT HILL ROAD MANCHESTER NH 3102 HILLSBOROUGH 31700 U 2021-10-01 2022-09-30 4 5627 12913 4752 23292 70 25550 158 45 214 417 35.61 286.96 55.86 180 20 225 425 5627 12913 4752 23292 70 25550 158 45 214 417 $3,806,036.00 $6,053,828.00 $3,147,246.00 $1,799,875.00 $446,970.00 $3,806,036.00 $1,416,715.00 $6,025.00 $1,275,904.00 $137,854.00 $33,052.00 $-41,072.00 $-1,231.00 $1,261,670.00 $11,121.00 $389,395.00 $10,198.00 $105,558.00 $443,890.00 $-501,227.00 $1,204,333.00 $506,240.00 $730,512.00 $1,236,752.00 $103,259.00 $1,340,011.00 $-135,678.00 $-135,678.00 $1,204,333.00 $9,014,246.00 $12,171,369.00 $12,171,369.00 $2,660,680.00 $9,510,689.00 $9,859,864.00 $-349,175.00 $213,497.00 $-135,678.00 $-135,678.00 $3,453,963.00 $25,363.00 191 HACKETT HILL ROAD OPERATIONS LLC 91.57 12913 5627 4752 $12,171,369.00 $3,806,036.00 $6,053,828.00
    1360062 305009 HANOVER HILL HEALTHCARE CENTER 700 HANOVER STREET MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-01-01 2022-12-31 4 7239 24860 6733 38832 124 45260 128 87 86 301 56.55 285.75 129.01 210 93 88 391 7239 24860 6733 38832 124 45260 128 87 86 301 $7,967,457.00 $6,722,125.00 $3,884,330.00 $1,312,136.00 $1,503,352.00 $7,967,457.00 $1,383,482.00 $826,019.00 $1,017,910.00 $1,286,846.00 $97,000.00 $106,531.00 $2,560,426.00 $5,700,732.00 $36,500.00 $827,251.00 $5,884,609.00 $1,961,479.00 $1,666,950.00 $16,334.00 $1,125,803.00 $8,493,485.00 $420,501.00 $368,243.00 $37,613.00 $261,457.00 $287,118.00 $1,374,932.00 3464211.00 $3,464,211.00 $4,839,143.00 $3,654,342.00 $3,654,342.00 $8,493,485.00 $16,182,968.00 $20,067,298.00 $20,067,298.00 $5,567,526.00 $14,499,772.00 $14,689,582.00 $-189,810.00 $2,723,502.00 $2,533,692.00 $2,533,692.00 $4,504,159.00 $6,669.00 LEE, THEODORE 94.19 24860 7239 6733 $20,067,298.00 $7,967,457.00 $6,722,125.00
    1360595 305074 HOLY CROSS HEALTH CENTER INC. 357 ISLAND POND ROAD MANCHESTER NH 03109-4811 HILLSBOROUGH 31700 U 2022-01-01 2022-12-31 1 554 7701 369 8624 40 14600 7 7 3 17 79.14 1100.14 507.29 4 12 2 18 554 7701 369 8624 40 14600 7 7 3 17 $2,209,541.00 $1,541,964.00 $478,487.00 $294,361.00 $338,331.00 $2,209,541.00 $220,520.00 $416,067.00 $383,795.00 $8,392.00 $2,065,723.00 $21,964.00 $731,159.00 $269,724.00 $232,371.00 $2,298,094.00 $121,558.00 $275,643.00 $7,558.00 $78,685.00 $483,444.00 $483,444.00 $1,814,650.00 $1,814,650.00 $2,298,094.00 $3,365,921.00 $3,844,408.00 $3,844,408.00 $1,097,044.00 $2,747,364.00 $3,751,505.00 $-1,004,141.00 $1,784,155.00 $780,014.00 $780,014.00 $310,480.00 SISTERS OF HOLY CROSS, INC./U.S. REGION 53.25 7701 554 369 $3,844,408.00 $2,209,541.00 $1,541,964.00
    1368328 305030 MAPLE LEAF HEALTHCARE CENTER 198 PEARL STREET MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-01-01 2022-08-31 4 3008 15688 2883 21579 110 26730 101 48 80 229 29.78 326.83 94.23 104 49 83 236 3008 15688 2883 21579 110 26730 101 48 80 229 $3,721,967.00 $3,163,138.00 $1,254,239.00 $579,336.00 $631,390.00 $3,721,967.00 $1,952,071.00 $722,305.00 $48,375.00 $52,249.00 $57,125.00 $3,038,112.00 $1,035,210.00 $303,371.00 $-3,031,606.00 $309,877.00 $192,425.00 $431,398.00 $3,393.00 $701,771.00 $1,328,987.00 $1,328,987.00 $-1,019,110.00 $-1,019,110.00 $309,877.00 $8,888,731.00 $10,142,969.00 $10,142,969.00 $2,763,736.00 $7,379,233.00 $6,885,105.00 $494,128.00 $187,349.00 $681,477.00 $681,477.00 $1,820,971.00 $7,913.00 NH3 OPCO HOLDCO LLC 95.61 15688 3008 2883 $10,142,969.00 $3,721,967.00 $3,163,138.00
    1363958 305067 MOUNT CARMEL REHABILITATION AND NURS 235 MYRTLE STREET MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-04-01 2023-03-31 1 4425 19052 9670 33147 120 43800 106 50 117 273 41.75 381.04 121.42 149 46 87 282 4425 19052 9670 33147 120 43800 106 50 117 273 $5,567,111.00 $7,937,301.00 $1,489,677.00 $1,248,837.00 $1,499,576.00 $5,567,111.00 $2,639,796.00 $1,097,432.00 $1,305,309.00 $14,168.00 $10,216,909.00 $65,310.00 $51,515.00 $2,083,520.00 $8,039,285.00 $2,377,291.00 $5,070,008.00 $6,791,719.00 $102,133.00 $6,893,852.00 $22,180,769.00 $436,067.00 $222,715.00 $470,809.00 $1,129,591.00 $334,764.00 $334,764.00 $1,464,355.00 $20,716,414.00 $20,716,414.00 $22,180,769.00 $13,740,000.00 $15,229,677.00 $15,229,677.00 $1,441,213.00 $13,788,464.00 $13,504,412.00 $284,052.00 $508,006.00 $792,058.00 $224,825.00 $2,609,961.00 BOHUNICKY, JOSEPH 89.43 19052 4425 9670 $15,229,677.00 $5,567,111.00 $7,937,301.00
    1370872 305088 ST JOSEPH RESIDENCE 495 MAMMOTH ROAD MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-07-01 2023-06-30 1 353 6413 5571 12337 39 14235 18 14 37 69 19.61 458.07 198.78 14 15 4 33 353 6413 390 7156 22 8030 18 14 4 36 $2,185,825.00 $2,138,617.00 $303,150.00 $259,245.00 $601,410.00 $2,185,825.00 $507,142.00 $88,492.00 $500,097.00 $4,584.00 $584,005.00 $31,670.00 $2,186,910.00 $452,461.00 $275,496.00 $859,501.00 $177,751.00 $164,407.00 $2,736.00 $344,894.00 $344,894.00 $514,607.00 $514,607.00 $859,501.00 $2,813,419.00 $3,116,569.00 $3,116,569.00 $132,756.00 $2,983,813.00 $4,324,442.00 $-1,340,629.00 $1,154,096.00 $-186,533.00 $-186,533.00 $203,960.00 LAMBERT, JACQUELINE 96.36 6413 353 5571 $3,116,569.00 $2,185,825.00 $2,138,617.00
    1364039 305071 ST. TERESA REHAB AND NURSING CENTER 519 BRIDGE ST MANCHESTER NH 3104 HILLSBOROUGH 31700 U 2022-04-01 2023-03-31 1 1469 7626 4340 13435 51 18615 36 18 52 106 40.81 423.67 126.75 53 17 34 104 1469 7626 4340 13435 51 18615 36 18 52 106 $2,039,092.00 $3,463,574.00 $545,190.00 $469,717.00 $450,745.00 $2,039,092.00 $1,374,954.00 $1,885,814.00 $593,573.00 $83,684.00 $4,879.00 $2,400,582.00 $60,000.00 $84,161.00 $2,790,339.00 $883,884.00 $576,854.00 $5,576,900.00 $5,576,900.00 $8,554,336.00 $148,526.00 $70,365.00 $127,339.00 $655.00 $12,118.00 $359,003.00 13888.00 $13,888.00 $372,891.00 $8,181,445.00 $8,181,445.00 $8,554,336.00 $5,817,423.00 $6,362,613.00 $6,362,613.00 $1,163,115.00 $5,199,498.00 $5,502,666.00 $-303,168.00 $326,028.00 $22,860.00 $-442,913.00 $875,781.00 ROGERS, LUANNE 76.27 7626 1469 4340 $6,362,613.00 $2,039,092.00 $3,463,574.00
    1363109 305057 THE COURVILLE AT MANCHESTER 44 WEBSTER STREET MANCHESTER NH 3103 HILLSBOROUGH 31700 U 2022-01-01 2022-12-31 4 6635 8741 8697 24073 76 27740 181 14 94 289 36.66 624.36 83.30 172 3 75 250 6635 8741 8697 24073 76 27740 181 14 94 289 $4,447,347.00 $7,030,804.00 $1,989,165.00 $1,644,940.00 $850,447.00 $4,447,347.00 $2,132,778.00 $553,000.00 $1,567,438.00 $193,860.00 $206,388.00 $2,132,966.00 $674,844.00 $6,196,794.00 $1,248,398.00 $1,944,000.00 $4,218,083.00 $418,980.00 $418,980.00 $6,770,029.00 $1,245,606.00 $318,404.00 $166,094.00 $322,699.00 $206,388.00 $2,259,191.00 5917867.00 $35,052.00 $6,642,783.00 $8,901,974.00 $-2,131,945.00 $-2,131,945.00 $6,770,029.00 $10,331,720.00 $12,320,885.00 $12,320,885.00 $2,351,015.00 $9,969,870.00 $11,478,151.00 $-1,508,281.00 $1,229,240.00 $-279,041.00 $-279,041.00 $3,839,118.00 $5,627.00 LEBOEUF, RICHARD 89.61 8741 6635 8697 $12,320,885.00 $4,447,347.00 $7,030,804.00