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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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| 1360176 | 135142 | ADVANCED HEALTH CARE OF COEUR D ALEN | 1578 W. RIVERSTONE DRIVE | COEUR DALENE | ID | 83814 | KOOTENAI | 17660 | U | 2022-01-01 | 2022-12-31 | 4 | 9853 | 1929 | 11782 | 34 | 12410 | 346 | 88 | 434 | 28.48 | 27.15 | 355 | 76 | 431 | 9853 | 1929 | 11782 | 34 | 12410 | 346 | 88 | 434 | $3,036,356.00 | $3,385,890.00 | $2,999,553.00 | $1,633,110.00 | $522,759.00 | $3,036,356.00 | $116,586.00 | $261,691.00 | $1,157,116.00 | $12,490.00 | $83,706.00 | $1,490,674.00 | $7,745.00 | $646,596.00 | $242,663.00 | $1,733,337.00 | $125,644.00 | $156,103.00 | $34,404.00 | $372,040.00 | $688,191.00 | $-22,966.00 | $665,225.00 | $1,068,112.00 | $1,068,112.00 | $1,733,337.00 | $7,073,027.00 | $10,071,885.00 | $2,161.00 | $10,074,046.00 | $3,110,517.00 | $6,963,529.00 | $6,422,246.00 | $541,283.00 | $243,877.00 | $785,160.00 | $785,160.00 | $5,841,069.00 | BURT, JAMES | 92.65 | 9853 | 1929 | $10,074,046.00 | $3,036,356.00 | $3,385,890.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 1354764 | 135079 | ARBOR VALLEY OF CASCADIA | 8211 USTICK | BOISE | ID | 83704 | ADA | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 1828 | 19570 | 7208 | 28606 | 148 | 54020 | 58 | 57 | 159 | 274 | 31.52 | 343.33 | 104.40 | 72 | 66 | 150 | 288 | 1828 | 19570 | 7208 | 28606 | 148 | 54020 | 58 | 57 | 159 | 274 | $5,745,982.00 | $5,067,019.00 | $1,875,726.00 | $932,053.00 | $901,619.00 | $5,745,982.00 | $89,850.00 | $2,600.00 | $982,683.00 | $66,111.00 | $161,025.00 | $1,080,197.00 | $765,825.00 | $606,889.00 | $7,819,970.00 | $7,823,451.00 | $9,510,537.00 | $103,202.00 | $274,558.00 | $5,472.00 | $1,012,205.00 | $1,395,437.00 | $4,872,943.00 | $4,872,943.00 | $6,268,380.00 | $3,242,157.00 | $3,242,157.00 | $9,510,537.00 | $10,345,567.00 | $12,221,343.00 | $12,221,343.00 | $1,311,235.00 | $10,910,108.00 | $10,813,001.00 | $97,107.00 | $421,977.00 | $519,084.00 | $519,084.00 | $1,225,286.00 | $75,237.00 | SKOUSEN, KYLE | 72.50 | 19570 | 1828 | 7208 | $12,221,343.00 | $5,745,982.00 | $5,067,019.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1360532 | 135097 | ASHTON LIVING CENTER | 700 N. SECOND | ASHTON | ID | 83420 | FREMONT | 99913 | R | 2021-12-01 | 2022-11-30 | 2 | 350 | 7565 | 1717 | 9632 | 38 | 13870 | 6 | 5 | 6 | 17 | 58.33 | 1513.00 | 566.59 | 10 | 15 | 10 | 35 | 350 | 7565 | 1717 | 9632 | 38 | 13870 | 6 | 5 | 6 | 17 | $2,736,136.00 | $3,537,356.00 | $281,426.00 | $262,467.00 | $307,932.00 | $2,736,136.00 | $1,238,040.00 | $712,825.00 | $129,389.00 | $85,367.00 | $175,420.00 | $2,341,041.00 | $227,228.00 | $143,303.00 | $5,032,519.00 | $469,716.00 | $751,528.00 | $2,938,649.00 | $1,209,065.00 | $1,209,065.00 | $6,488,755.00 | $104,708.00 | $191,573.00 | $3,422.00 | $11,983.00 | $311,686.00 | $1,059,088.00 | $1,059,088.00 | $1,370,774.00 | $5,117,981.00 | $5,117,981.00 | $6,488,755.00 | $2,101,200.00 | $2,382,626.00 | $2,382,626.00 | $499,671.00 | $1,882,955.00 | $6,273,492.00 | $-4,390,537.00 | $4,159,809.00 | $-230,728.00 | $-230,728.00 | $167,370.00 | $16,385.00 | BLANCHARD, GARTH | 78.16 | 7565 | 350 | 1717 | $2,382,626.00 | $2,736,136.00 | $3,537,356.00 | ||||||||||||||||||||||||||||||||||||||
| 1363996 | 135093 | ASPEN PARK OF CASCADIA | 420 ROWE STREET | MOSCOW | ID | 83843 | LATAH | 99913 | R | 2022-01-01 | 2022-12-31 | 4 | 3648 | 11127 | 2844 | 17619 | 70 | 25550 | 68 | 14 | 26 | 108 | 53.65 | 794.79 | 163.14 | 67 | 21 | 23 | 111 | 3648 | 11127 | 2844 | 17619 | 70 | 25550 | 68 | 14 | 26 | 108 | $2,609,489.00 | $3,906,315.00 | $1,852,814.00 | $841,390.00 | $365,890.00 | $2,609,489.00 | $714,123.00 | $1,524.00 | $476,036.00 | $95,162.00 | $89,173.00 | $18,103.00 | $489,674.00 | $1,009.00 | $265,875.00 | $182,850.00 | $9,806,112.00 | $9,807,772.00 | $10,480,296.00 | $177,292.00 | $146,713.00 | $9.00 | $881,266.00 | $1,205,280.00 | $-53.00 | $4,735,010.00 | $4,734,957.00 | $5,940,237.00 | $4,540,059.00 | $4,540,059.00 | $10,480,296.00 | $6,614,508.00 | $8,467,321.00 | $8,467,321.00 | $1,690,788.00 | $6,776,533.00 | $6,515,804.00 | $260,729.00 | $989,136.00 | $1,249,865.00 | $1,249,865.00 | $1,903,736.00 | $112,994.00 | ZIMMERMAN, RACHEL | 64.57 | 11127 | 3648 | 2844 | $8,467,321.00 | $2,609,489.00 | $3,906,315.00 | |||||||||||||||||||||||||||||||||||||||
| 1360175 | 135130 | ASPEN TRANSITIONAL REHAB | 2867 E. COPPER POINT | MERIDIAN | ID | 83642 | ADA | 13000 | U | 2022-01-01 | 2022-12-31 | 4 | 5669 | 1371 | 7040 | 30 | 10950 | 273 | 66 | 339 | 20.77 | 20.77 | 281 | 66 | 347 | 5669 | 1371 | 7040 | 30 | 10950 | 273 | 66 | 339 | $2,573,501.00 | $2,596,109.00 | $2,227,494.00 | $1,283,240.00 | $367,095.00 | $2,573,501.00 | $32,181.00 | $-493,066.00 | $374,127.00 | $18,614.00 | $20,271.00 | $-121,144.00 | $114,287.00 | $506,949.00 | $87,689.00 | $935,858.00 | $985,858.00 | $952,403.00 | $20,165.00 | $178,639.00 | $28,311.00 | $227,115.00 | $1,153,545.00 | $1,380,660.00 | $-428,257.00 | $-428,257.00 | $952,403.00 | $4,223,876.00 | $6,450,907.00 | $1,477.00 | $6,452,384.00 | $2,388,000.00 | $4,064,384.00 | $5,169,610.00 | $-1,105,226.00 | $492,082.00 | $-613,144.00 | $-613,144.00 | $3,263,196.00 | $3,744.00 | FRASURE, JOSEPH | 96.00 | 5669 | 1371 | $6,452,384.00 | $2,573,501.00 | $2,596,109.00 | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1355801 | 135134 | BENNETT HEALTHCARE LLC | 1220 MONTANA ST | GOODING | ID | 83330 | GOODING | 99913 | R | 2022-01-01 | 2022-12-31 | 4 | 1315 | 9353 | 3392 | 14060 | 80 | 29200 | 31 | 9 | 66 | 106 | 42.42 | 1039.22 | 132.64 | 45 | 14 | 58 | 117 | 1315 | 9353 | 3392 | 14060 | 80 | 29200 | 31 | 9 | 66 | 106 | $2,439,347.00 | $2,027,504.00 | $966,342.00 | $607,798.00 | $380,049.00 | $2,439,347.00 | $6,329.00 | $483,272.00 | $40,148.00 | $55,226.00 | $1,532,331.00 | $2,037,010.00 | $8,382.00 | $174,464.00 | $128,272.00 | $2,165,282.00 | $65,071.00 | $124,724.00 | $29,243.00 | $156,378.00 | $375,416.00 | $192,282.00 | $192,282.00 | $567,698.00 | $1,597,584.00 | $1,597,584.00 | $2,165,282.00 | $3,996,858.00 | $4,963,200.00 | $4,963,200.00 | $-390,985.00 | $5,354,185.00 | $4,466,851.00 | $887,334.00 | $984.00 | $888,318.00 | $888,318.00 | $762,684.00 | $38,249.00 | ORD, RICHARD | 63.13 | 9353 | 1315 | 3392 | $4,963,200.00 | $2,439,347.00 | $2,027,504.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1363592 | 135098 | BOISE NURSING AND REHAB CENTER LLC | 1140 N ALLUMBAUGH ST | BOISE | ID | 83704 | ADA | 14260 | U | 2022-01-01 | 2022-12-31 | 6 | 2300 | 15764 | 7093 | 25157 | 120 | 43800 | 41 | 45 | 73 | 159 | 56.10 | 350.31 | 158.22 | 49 | 11 | 87 | 147 | 2300 | 15764 | 7093 | 25157 | 120 | 43800 | 41 | 45 | 73 | 159 | $4,228,666.00 | $6,804,139.00 | $3,043,433.00 | $1,998,946.00 | $864,362.00 | $4,228,666.00 | $1,153,948.00 | $1,984,698.00 | $979,065.00 | $359,000.00 | $700,924.00 | $108,056.00 | $3,659,728.00 | $29,374.00 | $36,513.00 | $73,615.00 | $12,182,923.00 | $12,182,923.00 | $15,916,266.00 | $280,855.00 | $409,103.00 | $326,492.00 | $434,957.00 | $2,509,228.00 | $3,637.00 | $12,426,744.00 | $12,430,381.00 | $14,939,609.00 | $976,657.00 | $976,657.00 | $15,916,266.00 | $8,617,151.00 | $11,660,584.00 | $11,660,584.00 | $2,041,402.00 | $9,619,182.00 | $11,032,805.00 | $-1,413,623.00 | $1,498,175.00 | $84,552.00 | $84,552.00 | $1,487,749.00 | $7,049.00 | 52.08 | 15764 | 2300 | 7093 | $11,660,584.00 | $4,228,666.00 | $6,804,139.00 | ||||||||||||||||||||||||||||||||||||||||
| 1363997 | 135113 | BRIDGEVIEW ESTATES | 1828 BRIDGEVIEW BOULEVARD | TWIN FALLS | ID | 83301 | TWIN FALLS | 46300 | U | 2022-04-01 | 2023-03-31 | 6 | 1769 | 11070 | 1889 | 14728 | 116 | 42340 | 57 | 49 | 39 | 145 | 31.04 | 225.92 | 101.57 | 53 | 48 | 38 | 139 | 1769 | 11070 | 1889 | 14728 | 116 | 42340 | 57 | 49 | 39 | 145 | $4,621,357.00 | $5,038,121.00 | $1,636,583.00 | $743,928.00 | $707,076.00 | $4,620,561.00 | $236,574.00 | $1,420,926.00 | $677,628.00 | $74,628.00 | $211,027.00 | $2,029,844.00 | $1,397,772.00 | $667,552.00 | $6,277,975.00 | $8,307,819.00 | $455,848.00 | $374,802.00 | $12,641.00 | $250,997.00 | $1,094,288.00 | $5,181,549.00 | $5,181,549.00 | $6,275,837.00 | $2,031,982.00 | $2,031,982.00 | $8,307,819.00 | $8,526,126.00 | $10,096,472.00 | $43,262.00 | $10,139,734.00 | $512,425.00 | $9,627,309.00 | $9,659,478.00 | $-32,169.00 | $251,317.00 | $219,148.00 | $219,148.00 | $974,823.00 | $38,502.00 | LARSEN, JARED | 44.22 | 11070 | 1769 | 1889 | $10,139,734.00 | $4,621,357.00 | $5,038,121.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1363320 | 135014 | CALDWELL CARE OF CASCADIA | 210 CLEVELAND BOULEVARD | CALDWELL | ID | 83605 | CANYON | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 307 | 20038 | 418 | 20763 | 68 | 24820 | 4 | 31 | 9 | 44 | 76.75 | 646.39 | 471.89 | 9 | 31 | 4 | 44 | 307 | 20038 | 418 | 20763 | 68 | 24820 | 4 | 31 | 9 | 44 | $3,033,741.00 | $4,414,294.00 | $601,376.00 | $353,455.00 | $532,601.00 | $3,033,741.00 | $849,509.00 | $3,171.00 | $500,583.00 | $49,863.00 | $140,183.00 | $594,074.00 | $123,282.00 | $76,598.00 | $11,367,228.00 | $11,370,025.00 | $12,040,697.00 | $182,588.00 | $234,572.00 | $406.00 | $1,424,771.00 | $1,842,337.00 | $6,478,306.00 | $6,478,306.00 | $8,320,643.00 | $3,720,054.00 | $3,720,054.00 | $12,040,697.00 | $8,152,713.00 | $8,754,089.00 | $8,754,089.00 | $771,126.00 | $7,982,963.00 | $7,448,035.00 | $534,928.00 | $298,085.00 | $833,013.00 | $833,013.00 | $175,549.00 | $15,298.00 | DUDLEY, MARK | 82.96 | 20038 | 307 | 418 | $8,754,089.00 | $3,033,741.00 | $4,414,294.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1360959 | 135051 | CANYON WEST OF CASCADIA | 2814 SOUTH INDIANA AVENUE | CALDWELL | ID | 83605 | CANYON | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 1981 | 19024 | 3716 | 24721 | 103 | 37595 | 80 | 52 | 127 | 259 | 24.76 | 365.85 | 95.45 | 87 | 60 | 122 | 269 | 1981 | 19024 | 3716 | 24721 | 103 | 37595 | 80 | 52 | 127 | 259 | $3,436,870.00 | $5,751,827.00 | $2,319,999.00 | $947,182.00 | $534,218.00 | $3,436,870.00 | $1,346,634.00 | $1,100.00 | $1,060,018.00 | $153,681.00 | $120,667.00 | $1,028,104.00 | $132,646.00 | $74,499.00 | $13,453,975.00 | $13,455,252.00 | $14,557,855.00 | $158,875.00 | $157,518.00 | $23,673.00 | $1,496,924.00 | $1,836,990.00 | $8,186,785.00 | $8,186,785.00 | $10,023,775.00 | $4,534,080.00 | $4,534,080.00 | $14,557,855.00 | $9,137,735.00 | $11,457,734.00 | $11,457,734.00 | $1,971,895.00 | $9,485,839.00 | $9,188,697.00 | $297,142.00 | $915,400.00 | $1,212,542.00 | $1,212,542.00 | $1,145,635.00 | $62,358.00 | HOOPES, BARTON | 72.91 | 19024 | 1981 | 3716 | $11,457,734.00 | $3,436,870.00 | $5,751,827.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1361501 | 135102 | CASCADES AT SUNNY RIDGE | 2609 SUNNYBROOK DR | NAMPA | ID | 83686 | ADA | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 826 | 7224 | 31112 | 39162 | 166 | 60590 | 51 | 7 | 115 | 173 | 16.20 | 1032.00 | 68.82 | 47 | 5 | 95 | 147 | 826 | 7224 | 2892 | 10942 | 43 | 15695 | 51 | 7 | 101 | 159 | $2,790,377.00 | $3,295,952.00 | $606,392.00 | $548,141.00 | $434,890.00 | $2,790,377.00 | $108,004.00 | $2,111,995.00 | $-4,912.00 | $2,379,090.00 | $131,389.00 | $131,389.00 | $2,510,479.00 | $384,995.00 | $143,223.00 | $1,534,778.00 | $245,457.00 | $2,308,453.00 | $2,308,453.00 | $202,026.00 | $202,026.00 | $2,510,479.00 | $4,577,190.00 | $5,183,581.00 | $5,183,581.00 | $30,573.00 | $5,153,008.00 | $6,086,329.00 | $-933,321.00 | $1,135,347.00 | $202,026.00 | $202,026.00 | $457,157.00 | 86.98 | 7224 | 826 | 31112 | $5,183,581.00 | $2,790,377.00 | $3,295,952.00 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 1356164 | 135146 | CASCADIA OF BOISE | 6000 W DENTON ST | BOISE | ID | 83706 | ADA | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 4304 | 16371 | 6883 | 27558 | 99 | 36135 | 104 | 64 | 171 | 339 | 41.38 | 255.80 | 81.29 | 125 | 76 | 156 | 357 | 4304 | 16371 | 6883 | 27558 | 99 | 36135 | 104 | 64 | 171 | 339 | $5,305,015.00 | $7,974,761.00 | $3,407,615.00 | $1,564,412.00 | $766,659.00 | $5,305,015.00 | $523,658.00 | $1,050.00 | $1,717,548.00 | $232,962.00 | $151,881.00 | $1,637,517.00 | $601,185.00 | $337,371.00 | $13,524,154.00 | $13,525,024.00 | $15,499,912.00 | $382,464.00 | $395,002.00 | $1,176.00 | $2,022,322.00 | $2,800,964.00 | $187,239.00 | $12,446,242.00 | $12,633,481.00 | $15,434,445.00 | $65,467.00 | $65,467.00 | $15,499,912.00 | $11,592,148.00 | $14,999,763.00 | $14,999,763.00 | $2,522,650.00 | $12,477,113.00 | $13,279,776.00 | $-802,663.00 | $1,581,725.00 | $779,062.00 | $779,062.00 | $2,549,624.00 | $106,862.00 | BAIR, BRADEN | 94.95 | 16371 | 4304 | 6883 | $14,999,763.00 | $5,305,015.00 | $7,974,761.00 | |||||||||||||||||||||||||||||||||||||||||
| 1366089 | 135144 | CASCADIA OF NAMPA | 900 N HAPPY VALLEY RD | NAMPA | ID | 83687 | CANYON | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 1953 | 19495 | 4556 | 26004 | 99 | 36135 | 70 | 54 | 146 | 270 | 27.90 | 361.02 | 96.31 | 78 | 56 | 139 | 273 | 1953 | 19495 | 4556 | 26004 | 99 | 36135 | 70 | 54 | 146 | 270 | $4,656,811.00 | $7,053,544.00 | $2,932,032.00 | $1,373,349.00 | $751,293.00 | $4,656,811.00 | $1,432,157.00 | $1,224.00 | $716,530.00 | $49,459.00 | $175,804.00 | $844,099.00 | $102,839.00 | $58,660.00 | $13,951,558.00 | $13,953,442.00 | $14,856,201.00 | $168,148.00 | $255,150.00 | $-514.00 | $1,987,730.00 | $2,410,514.00 | $10,807,578.00 | $10,807,578.00 | $13,218,092.00 | $1,638,109.00 | $1,638,109.00 | $14,856,201.00 | $9,552,660.00 | $12,484,691.00 | $12,484,691.00 | $1,986,486.00 | $10,498,205.00 | $11,710,355.00 | $-1,212,150.00 | $468,070.00 | $-744,080.00 | $-744,080.00 | $1,161,975.00 | $22,537.00 | DANIEL J ALLEN DO PC | 92.42 | 19495 | 1953 | 4556 | $12,484,691.00 | $4,656,811.00 | $7,053,544.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1355502 | 135095 | CHERRY RIDGE OF CASCADIA | 501 W. IDAHO BLVD. | EMMETT | ID | 83617 | GEM | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 656 | 10268 | 978 | 11902 | 40 | 14600 | 18 | 27 | 34 | 79 | 36.44 | 380.30 | 150.66 | 19 | 21 | 33 | 73 | 656 | 10268 | 978 | 11902 | 40 | 14600 | 18 | 27 | 34 | 79 | $1,671,767.00 | $2,015,305.00 | $403,816.00 | $255,099.00 | $270,937.00 | $1,671,767.00 | $174,794.00 | $800.00 | $272,867.00 | $22,851.00 | $44,149.00 | $294,965.00 | $72,647.00 | $40,875.00 | $1,368,618.00 | $1,369,002.00 | $1,704,842.00 | $81,749.00 | $112,665.00 | $1,308.00 | $208,560.00 | $404,282.00 | $537,998.00 | $537,998.00 | $942,280.00 | $762,562.00 | $762,562.00 | $1,704,842.00 | $3,576,871.00 | $3,980,688.00 | $3,980,688.00 | $177,632.00 | $3,803,056.00 | $3,687,072.00 | $115,984.00 | $204,439.00 | $320,423.00 | $320,423.00 | $391,428.00 | $48,793.00 | MOORHOUSE, AARON | 83.75 | 10268 | 656 | 978 | $3,980,688.00 | $1,671,767.00 | $2,015,305.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1363688 | 135048 | CLEARWATER OF CASCADIA | 1204 SHRIVER ROAD | OROFINO | ID | 83544 | CLEARWATER | 99913 | R | 2022-01-01 | 2022-12-31 | 4 | 1975 | 11332 | 1146 | 14453 | 60 | 21900 | 37 | 20 | 10 | 67 | 53.38 | 566.60 | 215.72 | 44 | 17 | 7 | 68 | 1975 | 11332 | 1146 | 14453 | 60 | 21900 | 37 | 20 | 10 | 67 | $2,140,610.00 | $2,814,712.00 | $867,433.00 | $426,302.00 | $370,636.00 | $2,140,610.00 | $285,850.00 | $1,300.00 | $437,731.00 | $54,645.00 | $513,350.00 | $372,268.00 | $270,171.00 | $6,602,989.00 | $6,603,489.00 | $7,387,010.00 | $127,676.00 | $124,440.00 | $4,504.00 | $703,901.00 | $960,521.00 | $4,268.00 | $4,154,443.00 | $4,158,711.00 | $5,119,232.00 | $2,267,778.00 | $2,267,778.00 | $7,387,010.00 | $5,661,275.00 | $6,528,707.00 | $6,528,707.00 | $1,271,253.00 | $5,257,454.00 | $4,955,322.00 | $302,132.00 | $491,399.00 | $793,531.00 | $793,531.00 | $1,028,443.00 | $108,795.00 | BOWEN, ANDREA | 65.67 | 11332 | 1975 | 1146 | $6,528,707.00 | $2,140,610.00 | $2,814,712.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1363816 | 135052 | COEUR DALENE OF CASCADIA | 2514 NORTH 7TH STREET | COEUR DALENE | ID | 83814 | KOOTENAI | 17660 | U | 2022-01-01 | 2022-12-31 | 4 | 3306 | 16552 | 3805 | 23663 | 117 | 42705 | 69 | 60 | 88 | 217 | 47.91 | 275.87 | 109.05 | 82 | 63 | 86 | 231 | 3306 | 16552 | 3805 | 23663 | 117 | 42705 | 69 | 60 | 88 | 217 | $4,159,690.00 | $6,599,220.00 | $1,787,416.00 | $1,045,099.00 | $658,950.00 | $4,159,690.00 | $1,400,379.00 | $1,300.00 | $1,479,936.00 | $214,828.00 | $129,438.00 | $1,395,846.00 | $608,143.00 | $348,909.00 | $8,876,931.00 | $8,877,006.00 | $10,621,761.00 | $322,628.00 | $409,903.00 | $6,436.00 | $1,048,133.00 | $1,787,100.00 | $4,681,442.00 | $4,681,442.00 | $6,468,542.00 | $4,153,219.00 | $4,153,219.00 | $10,621,761.00 | $10,271,736.00 | $12,059,152.00 | $12,059,152.00 | $1,220,177.00 | $10,838,975.00 | $10,758,910.00 | $80,065.00 | $1,466,567.00 | $1,546,632.00 | $1,546,632.00 | $2,043,456.00 | $58,405.00 | MILLER, ERIC | 58.03 | 16552 | 3306 | 3805 | $12,059,152.00 | $4,159,690.00 | $6,599,220.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1374148 | 135105 | CRESS CREEK HEALTHCARE LLC | 660 SOUTH 2ND WEST | REXBURG | ID | 83440 | MADISON | 99913 | R | 2022-01-01 | 2022-12-31 | 4 | 2238 | 14426 | 1677 | 18341 | 119 | 43435 | 54 | 36 | 66 | 156 | 41.44 | 400.72 | 117.57 | 65 | 43 | 53 | 161 | 2238 | 14426 | 1677 | 18341 | 119 | 43435 | 54 | 36 | 66 | 156 | $3,372,367.00 | $3,251,603.00 | $2,032,723.00 | $1,049,689.00 | $532,986.00 | $3,372,367.00 | $132,350.00 | $7,101.00 | $558,035.00 | $18,283.00 | $86,109.00 | $1,795,425.00 | $2,428,387.00 | $31,931.00 | $416,054.00 | $308,513.00 | $2,736,900.00 | $129,889.00 | $170,052.00 | $33,290.00 | $104,902.00 | $438,133.00 | $354,331.00 | $354,331.00 | $792,464.00 | $1,944,436.00 | $1,944,436.00 | $2,736,900.00 | $5,546,268.00 | $7,578,989.00 | $7,578,989.00 | $45,399.00 | $7,533,590.00 | $6,623,970.00 | $909,620.00 | $15,178.00 | $924,798.00 | $924,798.00 | $1,218,149.00 | $58,676.00 | CHAMBERS, RANDY | 54.87 | 14426 | 2238 | 1677 | $7,578,989.00 | $3,372,367.00 | $3,251,603.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1366086 | 135089 | DESERT VIEW CARE CENTER OF BUHL | 820 SPRAGUE | BUHL | ID | 83316 | TWIN FALLS | 46300 | U | 2022-01-01 | 2022-12-31 | 4 | 567 | 11766 | 2170 | 14503 | 57 | 20805 | 11 | 26 | 14 | 51 | 51.55 | 452.54 | 284.37 | 13 | 34 | 16 | 63 | 567 | 11766 | 2170 | 14503 | 57 | 20805 | 11 | 26 | 14 | 51 | $1,951,504.00 | $2,196,696.00 | $774,475.00 | $347,084.00 | $341,711.00 | $1,951,504.00 | $1,750.00 | $282,678.00 | $1,510,781.00 | $1,795,209.00 | $148,497.00 | $77,118.00 | $52,995.00 | $32,589.00 | $1,827,798.00 | $347,075.00 | $126,375.00 | $21,190.00 | $7,508.00 | $502,148.00 | $502,148.00 | $1,325,650.00 | $1,325,650.00 | $1,827,798.00 | $4,062,933.00 | $4,837,409.00 | $4,837,409.00 | $616,248.00 | $4,221,161.00 | $4,148,200.00 | $72,961.00 | $1,162,580.00 | $1,235,541.00 | $1,235,541.00 | $311,517.00 | CASCADES AT DESERT VIEW LLC | 68.25 | 11766 | 567 | 2170 | $4,837,409.00 | $1,951,504.00 | $2,196,696.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1363322 | 135020 | GEM HEALTHCARE INC. | 714 NORTH BUTTE | EMMETT | ID | 83617 | GEM | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 1083 | 11470 | 3199 | 15752 | 74 | 27010 | 19 | 9 | 43 | 71 | 57.00 | 1274.44 | 221.86 | 25 | 7 | 40 | 72 | 1083 | 11470 | 3199 | 15752 | 74 | 27010 | 19 | 9 | 43 | 71 | $2,958,170.00 | $2,356,175.00 | $1,520,415.00 | $916,935.00 | $511,150.00 | $2,958,170.00 | $25,691.00 | $14,322.00 | $618,326.00 | $75,427.00 | $84,286.00 | $4,983,968.00 | $5,625,475.00 | $55,921.00 | $364,134.00 | $127,286.00 | $362,688.00 | $503,449.00 | $2,233,977.00 | $2,233,977.00 | $8,362,901.00 | $95,684.00 | $147,935.00 | $30,838.00 | $134,462.00 | $414,234.00 | $2,610,372.00 | $2,610,372.00 | $3,024,606.00 | $5,338,295.00 | $5,338,295.00 | $8,362,901.00 | $4,613,673.00 | $6,134,088.00 | $6,134,088.00 | $-98,014.00 | $6,232,102.00 | $5,314,345.00 | $917,757.00 | $919.00 | $918,676.00 | $918,676.00 | $668,034.00 | $186.00 | 71.22 | 11470 | 1083 | 3199 | $6,134,088.00 | $2,958,170.00 | $2,356,175.00 | |||||||||||||||||||||||||||||||||||||||
| 1360174 | 135080 | GRANGEVILLE OF CASCADIA | 410 NE 2ND STREET | GRANGEVILLE | ID | 83530 | IDAHO | 99913 | R | 2022-03-01 | 2022-12-31 | 4 | 1731 | 7073 | 2332 | 11136 | 60 | 18360 | 37 | 17 | 17 | 71 | 46.78 | 416.06 | 156.85 | 44 | 19 | 14 | 77 | 1731 | 7073 | 2332 | 11136 | 60 | 18360 | 37 | 17 | 17 | 71 | $1,375,990.00 | $2,844,245.00 | $469,091.00 | $272,454.00 | $244,752.00 | $1,375,990.00 | $755,515.00 | $616,700.00 | $69,656.00 | $19,740.00 | $566,784.00 | $59,811.00 | $44,897.00 | $4,308,632.00 | $4,308,632.00 | $4,920,313.00 | $169,564.00 | $70,288.00 | $663,520.00 | $903,372.00 | $4,234,429.00 | $4,234,429.00 | $5,137,801.00 | $-217,488.00 | $-217,488.00 | $4,920,313.00 | $3,251,713.00 | $3,720,805.00 | $3,720,805.00 | $-21,897.00 | $3,742,702.00 | $4,220,235.00 | $-477,533.00 | $260,045.00 | $-217,488.00 | $-217,488.00 | $925,364.00 | $26,841.00 | JENKINS, ADAM | 64.83 | 7073 | 1731 | 2332 | $3,720,805.00 | $1,375,990.00 | $2,844,245.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1364254 | 135092 | GSS – IDAHO FALLS VILLAGE | 840 EAST ELVA STREET | IDAHO FALLS | ID | 83401 | BONNEVILLE | 26820 | U | 2022-01-01 | 2022-12-31 | 1 | 1537 | 7869 | 2065 | 11471 | 113 | 41245 | 49 | 30 | 23 | 102 | 31.37 | 262.30 | 112.46 | 60 | 29 | 26 | 115 | 1537 | 7869 | 2065 | 11471 | 113 | 41245 | 49 | 30 | 23 | 102 | $2,234,829.00 | $2,258,258.00 | $1,032,158.00 | $407,998.00 | $497,360.00 | $2,234,829.00 | $159,390.00 | $220.00 | $499,551.00 | $49,644.00 | $14,100.00 | $13,972.00 | $478,199.00 | $91,006.00 | $191,348.00 | $5,246,372.00 | $437,261.00 | $1,334,741.00 | $1,812,940.00 | $41,139.00 | $285,759.00 | $326,898.00 | $326,898.00 | $1,486,042.00 | $1,486,042.00 | $1,812,940.00 | $4,000,220.00 | $5,032,378.00 | $5,032,378.00 | $1,549,275.00 | $3,483,103.00 | $4,493,087.00 | $-1,009,984.00 | $757,509.00 | $-252,475.00 | $-252,475.00 | $730,825.00 | $21,032.00 | BAKE, DARREN | 39.65 | 7869 | 1537 | 2065 | $5,032,378.00 | $2,234,829.00 | $2,258,258.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1350991 | 135067 | GSS – MOSCOW VILLAGE | 640 N EISENHOWER STREET | MOSCOW | ID | 83843-9588 | LATAH | 99913 | R | 2022-01-01 | 2022-12-31 | 1 | 1413 | 5584 | 13698 | 20695 | 217 | 79205 | 22 | 25 | 28 | 75 | 64.23 | 223.36 | 228.07 | 31 | 21 | 11 | 63 | 1413 | 5584 | 6459 | 13456 | 64 | 23360 | 22 | 25 | 12 | 59 | $3,579,612.00 | $4,774,249.00 | $1,225,305.00 | $581,550.00 | $536,907.00 | $3,579,612.00 | $290,917.00 | $750.00 | $718,533.00 | $39,779.00 | $11,911.00 | $8,420.00 | $699,835.00 | $382,985.00 | $2,083,037.00 | $18,207,446.00 | $1,434,034.00 | $8,266,203.00 | $8,966,038.00 | $56,555.00 | $9,491,612.00 | $9,548,167.00 | $9,548,167.00 | $-582,129.00 | $-582,129.00 | $8,966,038.00 | $7,873,475.00 | $9,098,780.00 | $9,098,780.00 | $1,382,477.00 | $7,716,303.00 | $8,353,861.00 | $-637,558.00 | $838,940.00 | $201,382.00 | $201,382.00 | $724,071.00 | $33,834.00 | RIGGIN, ANDREW | 61.41 | 5584 | 1413 | 13698 | $9,098,780.00 | $3,579,612.00 | $4,774,249.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1350990 | 135058 | GSS – SILVER WOOD VILLAGE | 405 WEST 7TH ST. | SILVERTON | ID | 83867-0358 | SHOSHONE | 99913 | R | 2022-01-01 | 2022-12-31 | 1 | 1435 | 9144 | 7781 | 18360 | 71 | 25915 | 18 | 32 | 18 | 68 | 79.72 | 285.75 | 253.66 | 36 | 29 | 7 | 72 | 1435 | 9144 | 3626 | 14205 | 50 | 18250 | 18 | 32 | 6 | 56 | $2,681,448.00 | $2,617,133.00 | $1,244,063.00 | $432,175.00 | $524,875.00 | $2,681,448.00 | $294,399.00 | $250.00 | $692,959.00 | $154,482.00 | $11,207.00 | $25,309.00 | $575,243.00 | $197,055.00 | $491,969.00 | $3,532,448.00 | $547,001.00 | $1,071,091.00 | $1,646,334.00 | $95,063.00 | $337,661.00 | $432,724.00 | $432,724.00 | $1,213,610.00 | $1,213,610.00 | $1,646,334.00 | $5,395,200.00 | $6,639,263.00 | $6,639,263.00 | $1,948,654.00 | $4,690,609.00 | $5,298,581.00 | $-607,972.00 | $1,093,389.00 | $485,417.00 | $485,417.00 | $697,353.00 | $47,133.00 | NAHMENSEN, ROBERT | 85.40 | 9144 | 1435 | 7781 | $6,639,263.00 | $2,681,448.00 | $2,617,133.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1365559 | 135087 | HOMEDALE HEALTHCARE INC. | 108 WEST OWYHEE | HOMEDALE | ID | 83628 | OWYHEE | 14260 | U | 2022-01-01 | 2022-12-31 | 4 | 1533 | 16452 | 2195 | 20180 | 58 | 21170 | 35 | 7 | 86 | 128 | 43.80 | 2350.29 | 157.66 | 46 | 3 | 85 | 134 | 1533 | 16452 | 2195 | 20180 | 58 | 21170 | 35 | 7 | 86 | 128 | $3,931,940.00 | $2,782,817.00 | $2,081,272.00 | $1,005,573.00 | $550,622.00 | $3,931,940.00 | $455.00 | $3,850.00 | $723,137.00 | $14,989.00 | $86,917.00 | $3,619,530.00 | $4,418,445.00 | $33,265.00 | $2,606,668.00 | $118,486.00 | $386,328.00 | $2,005,978.00 | $2,313,266.00 | $2,313,266.00 | $8,737,689.00 | $70,258.00 | $200,906.00 | $38,494.00 | $209,207.00 | $518,865.00 | $2,705,203.00 | $2,705,203.00 | $3,224,068.00 | $5,513,621.00 | $5,513,621.00 | $8,737,689.00 | $5,791,110.00 | $7,872,382.00 | $7,872,382.00 | $-118,646.00 | $7,991,028.00 | $6,714,757.00 | $1,276,271.00 | $266.00 | $1,276,537.00 | $1,276,537.00 | $933,683.00 | $17,813.00 | CONDRA, MELISSA | 90.34 | 16452 | 1533 | 2195 | $7,872,382.00 | $3,931,940.00 | $2,782,817.00 | ||||||||||||||||||||||||||||||||||||||
| 1374392 | 135131 | IDAHO STATE VETERANS HOME – BOISE | 320 COLLINS ROAD | BOISE | ID | 83702 | ADA | 14260 | U | 2022-07-01 | 2023-06-30 | 10 | 14893 | 300 | 11505 | 5237 | 31935 | 158 | 57670 | 60 | 5 | 38 | 15 | 118 | 248.22 | 60.00 | 302.76 | 259.20 | 67 | 13 | 35 | 115 | 14893 | 300 | 11505 | 26698 | 122 | 44530 | 60 | 5 | 38 | 103 | $6,290,250.00 | $9,483,462.00 | $1,041,587.00 | $1,704,904.00 | $2,533,082.00 | $6,290,250.00 | $7,677,487.00 | $1,298,599.00 | $8,613,366.00 | $8,613,366.00 | $8,613,366.00 | $8,613,366.00 | $8,613,366.00 | $15,236,393.00 | $16,277,980.00 | $16,277,980.00 | $1,041,587.00 | $15,236,393.00 | $15,773,712.00 | $-537,319.00 | $86,755.00 | $-450,564.00 | $-450,564.00 | $179,422.00 | $16,422.00 | DIVISION OF VETERANS SERVICES | 63.61 | 11505 | 300 | 5237 | $16,277,980.00 | $6,290,250.00 | $9,483,462.00 |
