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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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| 1371486 | 145142 | ALDEN-ALMA NELSON MANOR INC. | 550 S. MULFORD | ROCKFORD | IL | 61108-2599 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 4 | 6233 | 39751 | 13024 | 59008 | 268 | 97820 | 152 | 388 | 331 | 871 | 41.01 | 102.45 | 67.75 | 113 | 385 | 339 | 837 | 6233 | 39751 | 13024 | 59008 | 268 | 97820 | 152 | 388 | 331 | 871 | $6,697,229.00 | $11,314,778.00 | $3,142,590.00 | $2,648,363.00 | $885,825.00 | $6,697,229.00 | $2,622,239.00 | $220,000.00 | $33,006.00 | $18,188.00 | $3,882.00 | $2,457,315.00 | $703,996.00 | $853,392.00 | $640,413.00 | $22,688.00 | $22,688.00 | $3,120,416.00 | $607,012.00 | $738,179.00 | $106,600.00 | $1,439,476.00 | $4,967,219.00 | $2,033,129.00 | $5,857.00 | $2,038,986.00 | $7,006,205.00 | $-3,885,789.00 | $-3,885,789.00 | $3,120,416.00 | $16,323,673.00 | $16,751,527.00 | $16,751,527.00 | $265,461.00 | $16,486,066.00 | $18,012,007.00 | $-1,525,941.00 | $428,096.00 | $-1,097,845.00 | $-1,097,845.00 | $3,884,009.00 | $141,087.00 | ALDEN REALTY SERVICES, INC | 67.54 | 39751 | 6233 | 13024 | $16,751,527.00 | $6,697,229.00 | $11,314,778.00 | ||||||||||||||||||||||||||||||||||||||||
| 1374935 | 145259 | ALDEN-PARK STRATHMOOR INC. | 5668 STRATHMOOR DRIVE | ROCKFORD | IL | 61107-5199 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 4 | 2453 | 35026 | 10596 | 48075 | 189 | 68985 | 47 | 235 | 157 | 439 | 52.19 | 149.05 | 109.51 | 40 | 242 | 163 | 445 | 2453 | 35026 | 10596 | 48075 | 189 | 68985 | 47 | 235 | 157 | 439 | $5,174,082.00 | $9,113,347.00 | $2,905,039.00 | $2,042,908.00 | $685,003.00 | $5,174,082.00 | $2,059,133.00 | $160,000.00 | $36,784.00 | $4,339.00 | $11,738.00 | $2,943,204.00 | $1,172,800.00 | $1,089,156.00 | $673,678.00 | $3,616,882.00 | $653,287.00 | $613,525.00 | $72,559.00 | $1,173,766.00 | $2,513,137.00 | $537,925.00 | $1,814.00 | $539,739.00 | $3,052,876.00 | $564,006.00 | $564,006.00 | $3,616,882.00 | $13,278,785.00 | $13,747,584.00 | $13,747,584.00 | $-92,453.00 | $13,840,037.00 | $14,287,429.00 | $-447,392.00 | $282,104.00 | $-165,288.00 | $-165,288.00 | $1,677,557.00 | $104,123.00 | KULJANIN, NIKOLINA | 83.54 | 35026 | 2453 | 10596 | $13,747,584.00 | $5,174,082.00 | $9,113,347.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1353789 | 146066 | ALPINE FIRESIDE HEALTH CENTER LTD. | 3650 NORTH ALPINE ROAD | ROCKFORD | IL | 61114 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 4 | 5372 | 3786 | 10110 | 19268 | 99 | 36135 | 132 | 15 | 94 | 241 | 40.70 | 33.59 | 7 | 110 | 117 | 5372 | 372 | 5744 | 32 | 11680 | 132 | 39 | 171 | 34 | 12410 | 3786 | 1463 | 5249 | 15 | 35 | 50 | 252.40 | 104.98 | 15 | 96 | 111 | $2,329,564.00 | $5,241,981.00 | $2,019,673.00 | $1,268,104.00 | $441,367.00 | $2,329,564.00 | $1,474,380.00 | $-39,969.00 | $3,237,177.00 | $3,016,486.00 | $16,500.00 | $41,283.00 | $323,733.00 | $2,493,226.00 | $246,038.00 | $1,128,850.00 | $1,452,583.00 | $389,020.00 | $44,715.00 | $898,322.00 | $180,133.00 | $1,512,190.00 | $1,512,190.00 | $-59,607.00 | $-59,607.00 | $1,452,583.00 | $5,593,323.00 | $7,696,416.00 | $7,696,416.00 | $1,497,863.00 | $6,198,553.00 | $7,571,545.00 | $-1,372,992.00 | $201,624.00 | $-1,171,368.00 | $-1,171,368.00 | $2,992,407.00 | $2,148.00 | NJOLSTAD-OKSNEVAD, ELLEN | 51.52 | 3786 | 5372 | 10110 | $7,696,416.00 | $2,329,564.00 | $5,241,981.00 | |||||||||||||||||||||||||||||||||||
| 1373570 | 145908 | AMBERWOOD CARE CENTER | 2313 NORTH ROCKTON AVENUE | ROCKFORD | IL | 61103 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 6 | 2119 | 7126 | 34135 | 43380 | 141 | 51465 | 49 | 18 | 177 | 244 | 43.24 | 395.89 | 177.79 | 201 | 11 | 107 | 319 | 2119 | 7126 | 34135 | 43380 | 141 | 51465 | 49 | 18 | 177 | 244 | $5,508,215.00 | $6,168,871.00 | $1,860,784.00 | $888,140.00 | $848,527.00 | $5,508,215.00 | $500,684.00 | $638,238.00 | $4,292,146.00 | $671,830.00 | $253,973.00 | $2,696,667.00 | $7,209,194.00 | $1,452,219.00 | $342,810.00 | $682,250.00 | $4,122,094.00 | $4,122,094.00 | $12,013,538.00 | $339,237.00 | $458,905.00 | $26,865.00 | $4,569,247.00 | $5,394,254.00 | $3,769,745.00 | $3,769,745.00 | $9,163,999.00 | $2,849,539.00 | $2,849,539.00 | $12,013,538.00 | $11,023,221.00 | $12,884,005.00 | $12,884,005.00 | $1,623,793.00 | $11,260,212.00 | $11,677,086.00 | $-416,874.00 | $326,879.00 | $-89,995.00 | $-89,995.00 | $1,410,814.00 | $119,078.00 | TODD STERN 2015 TRUST | 91.56 | 7126 | 2119 | 34135 | $12,884,005.00 | $5,508,215.00 | $6,168,871.00 | ||||||||||||||||||||||||||||||||||||||||
| 1351642 | 145937 | FOREST CITY NURSING & REHAB CENTER | 321 ARNOLD | ROCKFORD | IL | 61108 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 6 | 1879 | 59910 | 1115 | 62904 | 213 | 77745 | 63 | 70 | 5 | 138 | 29.83 | 709.57 | 247.77 | 62 | 28 | 6 | 96 | 1879 | 21287 | 1115 | 24281 | 99 | 36135 | 63 | 30 | 5 | 98 | 114 | 41610 | 38623 | 38623 | 40 | 40 | 965.58 | 965.58 | 33 | 33 | $4,982,352.00 | $6,315,082.00 | $228,602.00 | $519,414.00 | $587,087.00 | $4,982,352.00 | $350,041.00 | $2,211,658.00 | $1,310,349.00 | $370,164.00 | $2,048,382.00 | $5,940,553.00 | $910,533.00 | $340,202.00 | $580,099.00 | $4,153,596.00 | $4,153,596.00 | $10,674,248.00 | $610,206.00 | $297,534.00 | $24,456.00 | $1,670,257.00 | $2,602,453.00 | $2,483,339.00 | $2,483,339.00 | $5,085,792.00 | $5,588,456.00 | $5,588,456.00 | $10,674,248.00 | $12,709,582.00 | $12,709,582.00 | $12,709,582.00 | $12,709,582.00 | $11,297,434.00 | $1,412,148.00 | $2,610,816.00 | $4,022,964.00 | $4,022,964.00 | $1,107,687.00 | $144,113.00 | FREDSIGN HOLDINGS I LLC | 77.46 | 59910 | 1879 | 1115 | $12,709,582.00 | $4,982,352.00 | $6,315,082.00 | ||||||||||||||||||||||||||||||||
| 1372168 | 145751 | PA PETERSON AT THE CITADEL | 1311 PARKVIEW AVE | ROCKFORD | IL | 61107 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 6 | 4535 | 13532 | 30509 | 48576 | 158 | 57670 | 129 | 48 | 149 | 326 | 35.16 | 281.92 | 143.99 | 368 | 21 | 53 | 442 | 4535 | 13532 | 25130 | 43197 | 129 | 47085 | 129 | 48 | 123 | 300 | 29 | 10585 | 5379 | 5379 | 26 | 26 | 206.88 | 11 | 11 | $5,791,258.00 | $8,157,465.00 | $3,044,028.00 | $1,416,496.00 | $927,354.00 | $5,791,258.00 | $881,093.00 | $1,225,495.00 | $2,989,589.00 | $963,912.00 | $228,197.00 | $2,387,635.00 | $5,867,004.00 | $648,743.00 | $53,620.00 | $263,991.00 | $595,655.00 | $4,166,184.00 | $4,166,184.00 | $10,628,843.00 | $752,889.00 | $383,601.00 | $24,745.00 | $531,367.00 | $1,032,884.00 | $2,725,486.00 | $3,335,567.00 | $3,335,567.00 | $6,061,053.00 | $4,567,790.00 | $4,567,790.00 | $10,628,843.00 | $18,814,022.00 | $21,858,050.00 | $21,858,050.00 | $8,290,994.00 | $13,567,056.00 | $13,948,723.00 | $-381,667.00 | $383,818.00 | $2,151.00 | $2,151.00 | $3,136,080.00 | $176,711.00 | 95.19 | 13532 | 4535 | 30509 | $21,858,050.00 | $5,791,258.00 | $8,157,465.00 | ||||||||||||||||||||||||||||||
| 1345444 | 145771 | RIVER BLUFF NURSING HOME | 4401 NORTH MAIN STREET | ROCKFORD | IL | 61103 | WINNEBAGO | 40420 | U | 2021-10-01 | 2022-09-30 | 9 | 2480 | 42161 | 6350 | 50991 | 304 | 110960 | 51 | 186 | 54 | 291 | 48.63 | 38.00 | 48.42 | 101 | 1 | 102 | 2480 | 38 | 2518 | 152 | 55480 | 51 | 1 | 52 | 152 | 55480 | 42123 | 6350 | 48473 | 185 | 54 | 239 | 227.69 | 202.82 | 112 | 31 | 143 | $6,548,414.00 | $12,620,259.00 | $2,225,091.00 | $822,966.00 | $2,113,323.00 | $6,548,414.00 | $4,026,216.00 | $262.00 | $607,791.00 | $4,753,068.00 | $1,457,864.00 | $100,619.00 | $6,043,668.00 | $5,830.00 | $639,718.00 | $4,487,780.00 | $7,486,418.00 | $1,987,534.00 | $3,260,041.00 | $76,541.00 | $9,051,346.00 | $9,127,887.00 | $18,431,596.00 | $4,508,705.00 | $417,301.00 | $1,118,513.00 | $6,044,519.00 | $3,678,469.00 | $3,678,469.00 | $9,722,988.00 | $8,708,608.00 | $8,708,608.00 | $18,431,596.00 | $10,596,835.00 | $12,810,887.00 | $12,810,887.00 | $346,157.00 | $12,464,730.00 | $19,168,673.00 | $-6,703,943.00 | $9,142,526.00 | $2,438,583.00 | $2,438,583.00 | $1,590,342.00 | COUNTY OF WINNEBAGO | 46.48 | 42161 | 2480 | 6350 | $12,810,887.00 | $6,548,414.00 | $12,620,259.00 | ||||||||||||||||||||||||||||
| 1368713 | 145891 | RIVER CROSSING OF ROCKFORD | 1660 SOUTH MULFORD ROAD | ROCKFORD | IL | 61108 | WINNEBAGO | 40420 | U | 2022-07-01 | 2023-06-30 | 2 | 1657 | 22912 | 5371 | 29940 | 120 | 43800 | 30 | 93 | 95 | 218 | 55.23 | 246.37 | 137.34 | 41 | 60 | 89 | 190 | 1657 | 22912 | 5371 | 29940 | 120 | 43800 | 30 | 93 | 95 | 218 | $4,205,915.00 | $7,296,648.00 | $1,796,708.00 | $809,237.00 | $520,691.00 | $4,205,915.00 | $1,939,677.00 | $22,165.00 | $890,073.00 | $11,269.00 | $9,813.00 | $25,186.00 | $952,731.00 | $1,386,469.00 | $1,386,469.00 | $2,339,200.00 | $382,397.00 | $172,386.00 | $6,892.00 | $-31,577.00 | $794,212.00 | $1,324,310.00 | $911,858.00 | $911,858.00 | $2,236,168.00 | $103,032.00 | $103,032.00 | $2,339,200.00 | $9,315,724.00 | $11,112,432.00 | $11,112,432.00 | $2,829,616.00 | $8,282,816.00 | $11,502,563.00 | $-3,219,747.00 | $441,424.00 | $-2,778,323.00 | $-2,778,323.00 | $1,066,633.00 | $187,039.00 | #N/A | 22912 | 1657 | 5371 | $11,112,432.00 | $4,205,915.00 | $7,296,648.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1375336 | 145818 | ROCK RIVER HEALTH CARE | 707 WEST RIVERSIDE BLVD | ROCKFORD | IL | 61103 | WINNEBAGO | 40420 | U | 2022-01-01 | 2022-12-31 | 6 | 1370 | 2075 | 21980 | 25425 | 130 | 47450 | 28 | 9 | 130 | 167 | 48.93 | 239.60 | 134.23 | 45 | 5 | 65 | 115 | 1370 | 1198 | 11660 | 14228 | 69 | 25185 | 28 | 5 | 73 | 106 | 61 | 22265 | 877 | 10320 | 11197 | 4 | 57 | 61 | 219.25 | 183.56 | 3 | 57 | 60 | $2,407,477.00 | $3,555,953.00 | $214,002.00 | $400,700.00 | $337,511.00 | $2,407,477.00 | $220,808.00 | $225,881.00 | $1,821,665.00 | $656,127.00 | $338,584.00 | $133,646.00 | $2,791,700.00 | $57,280.00 | $121,497.00 | $48,468.00 | $1,332,266.00 | $1,332,266.00 | $4,172,434.00 | $864,009.00 | $147,477.00 | $952.00 | $467,840.00 | $1,480,278.00 | $1,191,658.00 | $1,191,658.00 | $2,671,936.00 | $1,500,498.00 | $1,500,498.00 | $4,172,434.00 | $5,737,270.00 | $5,951,272.00 | $5,951,272.00 | $-1,750.00 | $5,953,022.00 | $5,963,430.00 | $-10,408.00 | $206,342.00 | $195,934.00 | $195,934.00 | $894,286.00 | $103,105.00 | SMF HEALTHCARE LLC | 62.15 | 2075 | 1370 | 21980 | $5,951,272.00 | $2,407,477.00 | $3,555,953.00 | |||||||||||||||||||||||||||
| 1379620 | 145563 | SAINT ANNE CENTER | 4405 HIGHCREST | ROCKFORD | IL | 61107 | WINNEBAGO | 40420 | U | 2022-07-01 | 2023-06-30 | 1 | 3414 | 32365 | 35779 | 179 | 65335 | 82 | 301 | 383 | 41.63 | 93.42 | 131 | 256 | 387 | 3414 | 32365 | 35779 | 179 | 65335 | 82 | 301 | 383 | $3,906,166.00 | $10,075,198.00 | $2,088,116.00 | $1,490,436.00 | $957,131.00 | $3,906,166.00 | $14,668.00 | $2,116,888.00 | $1,125,007.00 | $5,597.00 | $41,376.00 | $1,075,191.00 | $1,100,000.00 | $233,811.00 | $2,903,650.00 | $522,580.00 | $326,121.00 | $1,343,808.00 | $5,133,295.00 | $5,926.00 | $6,214,412.00 | $339,669.00 | $98,827.00 | $350,786.00 | $789,282.00 | $252,210.00 | $1,041,492.00 | $5,172,920.00 | $5,172,920.00 | $6,214,412.00 | $10,704,882.00 | $12,792,999.00 | $12,792,999.00 | $1,661,764.00 | $11,131,235.00 | $13,981,364.00 | $-2,850,129.00 | $354,612.00 | $-2,495,517.00 | $-2,495,517.00 | $1,948,916.00 | $62,061.00 | NIKA, VASIL | 65.03 | 3414 | 32365 | $12,792,999.00 | $3,906,166.00 | $10,075,198.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1371158 | 146101 | WILLOWS HEALTH CARE | 4054 ALBRIGHT | ROCKFORD | IL | 61103 | WINNEBAGO | 40420 | U | 2022-07-01 | 2023-06-30 | 2 | 1222 | 2684 | 26121 | 30027 | 127 | 46355 | 64 | 2 | 255 | 321 | 19.09 | 1.00 | 29.58 | 112 | 1 | 1 | 114 | 1222 | 1 | 729 | 1952 | 20 | 7300 | 64 | 1 | 1 | 66 | 71 | 25915 | 2683 | 15601 | 18284 | 1 | 223 | 224 | 2683.00 | 81.63 | 1 | 108 | 109 | $5,484,328.00 | $6,417,494.00 | $407,808.00 | $725,570.00 | $882,610.00 | $5,484,328.00 | $2,143,640.00 | $-1,126,637.00 | $752,674.00 | $100,220.00 | $-474,183.00 | $21,736.00 | $9,912,749.00 | $2,227,695.00 | $3,908,002.00 | $710.00 | $710.00 | $3,434,529.00 | $503,805.00 | $158,496.00 | $662,301.00 | $662,301.00 | $2,772,228.00 | $2,772,228.00 | $3,434,529.00 | $10,638,125.00 | $11,346,115.00 | $11,346,115.00 | $863,409.00 | $10,482,706.00 | $11,901,822.00 | $-1,419,116.00 | $1,117,093.00 | $-302,023.00 | $-302,023.00 | $709,386.00 | DITTMER, HELEN | 54.80 | 2684 | 1222 | 26121 | $11,346,115.00 | $5,484,328.00 | $6,417,494.00 |
