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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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| 1344743 | 425057 | ABBEVILLE NURSING HOME INC. | 83 THOMPSON CIRCLE | ABBEVILLE | SC | 29620 | ABBEVILLE | 99942 | R | 2021-10-01 | 2022-09-30 | 4 | 661 | 17860 | 1257 | 19778 | 94 | 34310 | 13 | 35 | 13 | 61 | 50.85 | 510.29 | 324.23 | 11 | 25 | 13 | 49 | 661 | 17860 | 1257 | 19778 | 94 | 34310 | 13 | 35 | 13 | 61 | $2,616,745.00 | $3,239,833.00 | $572,489.00 | $375,783.00 | $487,851.00 | $2,616,745.00 | $864,923.00 | $373,038.00 | $29,100.00 | $34,754.00 | $-3,014.00 | $24,173.00 | $2,023,357.00 | $58,250.00 | $34,297.00 | $1,256,639.00 | $491,683.00 | $645,279.00 | $713,134.00 | $2,079.00 | $5,633.00 | $2,742,124.00 | $281,528.00 | $73,968.00 | $2,502.00 | $54,412.00 | $234,507.00 | $646,917.00 | 658132.00 | $499,900.00 | $1,158,032.00 | $1,804,949.00 | $937,175.00 | $937,175.00 | $2,742,124.00 | $4,432,486.00 | $5,004,975.00 | $5,004,975.00 | $794,075.00 | $4,210,900.00 | $5,856,578.00 | $-1,645,678.00 | $1,689,784.00 | $44,106.00 | $44,106.00 | $345,553.00 | $25,345.00 | EVANS, TIMOTHY | 52.45 | 17860 | 661 | 1257 | $5,004,975.00 | $2,616,745.00 | $3,239,833.00 | |||||||||||||||||||||||||||||||||||
| 1376639 | 425311 | ANCHOR POST ACUTE | 550 EAST GATE DRIVE | AIKEN | SC | 29803 | AIKEN | 12260 | U | 2022-01-01 | 2022-12-31 | 5 | 8870 | 15581 | 13953 | 38404 | 120 | 43800 | 299 | 11 | 454 | 764 | 29.67 | 1416.45 | 50.27 | 301 | 29 | 468 | 798 | 8870 | 15581 | 13953 | 38404 | 120 | 43800 | 299 | 11 | 454 | 764 | $5,291,304.00 | $9,733,320.00 | $5,942,107.00 | $2,588,811.00 | $927,863.00 | $5,291,304.00 | $1,855,725.00 | $1,611.00 | $3,439,791.00 | $542,020.00 | $15,907.00 | $6,790.00 | $2,922,079.00 | $45,599.00 | $128,113.00 | $133,743.00 | $35,608.00 | $3,091,430.00 | $563,171.00 | $215,660.00 | $2,558.00 | $9,966.00 | $3,599,815.00 | $4,391,170.00 | $4,391,170.00 | $-1,299,740.00 | $-1,299,740.00 | $3,091,430.00 | $17,554,380.00 | $23,485,584.00 | $23,485,584.00 | $9,346,099.00 | $14,139,485.00 | $15,024,624.00 | $-885,139.00 | $83,764.00 | $-801,375.00 | $-801,375.00 | $5,036,963.00 | $73,806.00 | LAWRENCE, RA | 93.33 | 15581 | 8870 | 13953 | $23,485,584.00 | $5,291,304.00 | $9,733,320.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1363914 | 425047 | ANDERSON SC OPCO LLC | 611 E HAMPTON STREET | ANDERSON | SC | 29624 | ANDERSON | 24860 | U | 2022-01-01 | 2022-12-31 | 5 | 1543 | 33574 | 10058 | 45175 | 181 | 66065 | 30 | 203 | 64 | 297 | 51.43 | 165.39 | 152.10 | 98 | 113 | 79 | 290 | 1543 | 33574 | 10058 | 45175 | 181 | 66065 | 30 | 203 | 64 | 297 | $4,717,808.00 | $8,504,002.00 | $972,660.00 | $972,470.00 | $790,834.00 | $4,717,808.00 | $47,297.00 | $3,526,388.00 | $177,568.00 | $176,931.00 | $3,573,048.00 | $337,805.00 | $541,726.00 | $674,010.00 | $3,431,362.00 | $3,431,362.00 | $7,678,420.00 | $2,408,864.00 | $214,559.00 | $6,242,275.00 | $8,865,698.00 | $8,865,698.00 | $-1,187,278.00 | $-1,187,278.00 | $7,678,420.00 | $9,085,768.00 | $10,058,427.00 | $10,058,427.00 | $444,503.00 | $9,613,924.00 | $13,221,810.00 | $-3,607,886.00 | $2,524,648.00 | $-1,083,238.00 | $-1,083,238.00 | $899,953.00 | $29,753.00 | COCHRAN, AMANDA | 83.09 | 33574 | 1543 | 10058 | $10,058,427.00 | $4,717,808.00 | $8,504,002.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1343671 | 425323 | ANGEL OAK NURSING AND REHAB CENTER | 4452 SOCASTEE BLVD | MYRTLE BEACH | SC | 29588 | HORRY | 34820 | U | 2021-10-01 | 2022-09-30 | 5 | 5094 | 9101 | 13650 | 27845 | 88 | 32120 | 124 | 45 | 142 | 311 | 41.08 | 202.24 | 89.53 | 174 | 35 | 145 | 354 | 5094 | 9101 | 13650 | 27845 | 88 | 32120 | 124 | 45 | 142 | 311 | $2,890,742.00 | $5,380,706.00 | $2,331,007.00 | $1,389,860.00 | $456,493.00 | $2,890,742.00 | $85,553.00 | $3,861,955.00 | $161,756.00 | $224,517.00 | $4,010,269.00 | $10,465.00 | $87,826.00 | $81,596.00 | $1,111,140.00 | $1,114,482.00 | $5,206,347.00 | $1,615,939.00 | $56,409.00 | $758,730.00 | $2,431,078.00 | $2,431,078.00 | $2,775,269.00 | $2,775,269.00 | $5,206,347.00 | $8,988,369.00 | $11,319,376.00 | $11,319,376.00 | $2,086,536.00 | $9,232,840.00 | $8,271,448.00 | $961,392.00 | $704,781.00 | $1,666,173.00 | $1,666,173.00 | $2,962,428.00 | $22,817.00 | 89.09 | 9101 | 5094 | 13650 | $11,319,376.00 | $2,890,742.00 | $5,380,706.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1376632 | 425067 | BAYVIEW MANOR LLC | 11 TODD DRIVE | BEAUFORT | SC | 29901 | BEAUFORT | 25940 | U | 2021-10-01 | 2022-09-30 | 4 | 2761 | 36847 | 4834 | 44442 | 170 | 62050 | 53 | 55 | 33 | 141 | 52.09 | 669.95 | 315.19 | 25 | 26 | 21 | 72 | 2761 | 36847 | 4834 | 44442 | 170 | 62050 | 53 | 55 | 33 | 141 | $4,494,892.00 | $10,852,192.00 | $5,951,007.00 | $1,498,239.00 | $689,403.00 | $4,494,892.00 | $328,353.00 | $2,177,624.00 | $1,062,447.00 | $308,061.00 | $2,298,957.00 | $1,018,550.00 | $74,296.00 | $338,257.00 | $41,323.00 | $41,323.00 | $2,678,537.00 | $750,105.00 | $259,247.00 | $732,819.00 | $10,105,875.00 | $427,308.00 | $10,533,183.00 | $-7,854,646.00 | $-7,854,646.00 | $2,678,537.00 | $9,669,733.00 | $15,608,314.00 | $15,608,314.00 | $5,531,399.00 | $10,076,915.00 | $15,347,084.00 | $-5,270,169.00 | $2,990,406.00 | $-2,279,763.00 | $-2,279,763.00 | $1,502,557.00 | $230,608.00 | RESORTS AT BEAUFORT 2 LLC | 59.88 | 36847 | 2761 | 4834 | $15,608,314.00 | $4,494,892.00 | $10,852,192.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1344749 | 425387 | BENZIE T. RICE | 100 FINLEY ROAD | COLUMBIA | SC | 29203 | RICHLAND | 17900 | U | 2021-10-01 | 2022-09-30 | 1 | 5983 | 31130 | 37113 | 159 | 58035 | 158 | 231 | 389 | 37.87 | 69.49 | 185 | 207 | 392 | 5983 | 20981 | 26964 | 80 | 29200 | 158 | 230 | 388 | $4,850,974.00 | $9,023,963.00 | $2,237,348.00 | $1,640,383.00 | $859,899.00 | $4,850,974.00 | $901.00 | $1,888,663.00 | $23,118.00 | $28,256.00 | $1,940,938.00 | $1,693,900.00 | $723,374.00 | $23,736,101.00 | $1,736,508.00 | $2,485,693.00 | $17,004,487.00 | $22,655.00 | $22,655.00 | $18,968,080.00 | $14,744.00 | $333,435.00 | $7,411.00 | $109,590.00 | $23,253,147.00 | $23,253,147.00 | $-4,285,067.00 | $-4,285,067.00 | $18,968,080.00 | $10,983,728.00 | $13,221,076.00 | $13,221,076.00 | $1,500,174.00 | $11,720,902.00 | $13,874,937.00 | $-2,154,035.00 | $403,273.00 | $-1,750,762.00 | $-1,750,762.00 | $3,238,866.00 | $17,437.00 | 92.88 | 5983 | 31130 | $13,221,076.00 | $4,850,974.00 | $9,023,963.00 | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1344319 | 425372 | BETHEA BAPTIST HEALTHCARE COMMUNITY | 157 HOME AVENUE | DARLINGTON | SC | 29532 | DARLINGTON | 22500 | R | 2021-10-01 | 2022-09-30 | 2 | 6616 | 10943 | 43479 | 61038 | 189 | 68985 | 190 | 64 | 107 | 361 | 34.82 | 170.98 | 70.31 | 196 | 67 | 75 | 338 | 6616 | 10943 | 4660 | 22219 | 66 | 24090 | 190 | 64 | 62 | 316 | 22 | 8030 | 7531 | 7531 | 19 | 19 | 396.37 | 18 | 18 | $5,081,917.00 | $9,164,567.00 | $2,041,758.00 | $1,567,168.00 | $509,204.00 | $5,081,917.00 | $845,062.00 | $2,660,882.00 | $287,043.00 | $87,317.00 | $3,480,787.00 | $151,340.00 | $4,009,889.00 | $26,926,635.00 | $1,065,773.00 | $2,523,156.00 | $22,727,870.00 | $18,882.00 | $4,776,300.00 | $4,795,182.00 | $31,003,839.00 | $332,457.00 | $351,923.00 | $757,600.00 | $227,044.00 | $2,327,169.00 | $17,665,689.00 | $17,665,689.00 | $19,992,858.00 | $11,010,981.00 | $11,010,981.00 | $31,003,839.00 | $10,067,009.00 | $12,108,768.00 | $12,108,768.00 | $168,632.00 | $11,940,136.00 | $14,246,484.00 | $-2,306,348.00 | $802,221.00 | $-1,504,127.00 | $-1,504,127.00 | $3,190,143.00 | $126,002.00 | BARBOUR, JAMES B | 83.68 | 10943 | 6616 | 43479 | $12,108,768.00 | $5,081,917.00 | $9,164,567.00 | |||||||||||||||||||||||||||||
| 1347048 | 425411 | BISHOP GADSDEN EPISCOPAL HEALTH CARE | 1 BISHOP GADSDEN WAY | CHARLESTON | SC | 29412-3506 | CHARLESTON | 16700 | U | 2022-01-01 | 2022-12-31 | 2 | 976 | 8137 | 9113 | 50 | 18250 | 32 | 14 | 46 | 30.50 | 198.11 | 44 | 16 | 60 | 976 | 8137 | 9113 | 50 | 18250 | 32 | 14 | 46 | $20,690,017.00 | $34,419,560.00 | $1,637,965.00 | $1,005,195.00 | $3,201,056.00 | $20,690,017.00 | $10,546,627.00 | $55,927,352.00 | $2,263,367.00 | $20,000.00 | $279,898.00 | $582,317.00 | $11,856,001.00 | $81,570,372.00 | $7,092,053.00 | $10,654,478.00 | $239,829,281.00 | $33,748,476.00 | $206,404,477.00 | $4,701,269.00 | $4,701,269.00 | $292,676,118.00 | $685,601.00 | $984,240.00 | $1,008,457.00 | $136,493,800.00 | $110,268,141.00 | $177,864.00 | $249,747,703.00 | $249,747,703.00 | $42,928,415.00 | $42,928,415.00 | $292,676,118.00 | $5,301,568.00 | $40,430,167.00 | $40,430,167.00 | $1,000,799.00 | $39,429,368.00 | $55,109,577.00 | $-15,680,209.00 | $13,051,120.00 | $-2,629,089.00 | $-2,629,089.00 | $580,327.00 | KERRISON, LYNNE L | 62.68 | 976 | 8137 | $40,430,167.00 | $20,690,017.00 | $34,419,560.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1355645 | 425319 | BLACKVILLE HEALTHCARE AND REHAB LLC | 1612 JONES BRIDGE ROAD | BLACKVILLE | SC | 29817 | BARNWELL | 99942 | R | 2022-01-01 | 2022-12-31 | 4 | 1703 | 21659 | 1100 | 24462 | 85 | 31025 | 9 | 153 | 22 | 184 | 189.22 | 141.56 | 132.95 | 35 | 83 | 34 | 152 | 1703 | 21659 | 1100 | 24462 | 85 | 31025 | 9 | 153 | 22 | 184 | $2,317,853.00 | $3,610,137.00 | $470,187.00 | $437,538.00 | $471,393.00 | $2,317,853.00 | $695,405.00 | $581,032.00 | $38,450.00 | $35,744.00 | $14,832.00 | $1,288,563.00 | $30,330.00 | $72,228.00 | $72,228.00 | $1,360,791.00 | $422,444.00 | $105,188.00 | $77,510.00 | $178,644.00 | $783,786.00 | $2,373,926.00 | $2,373,926.00 | $3,157,712.00 | $-1,796,921.00 | $-1,796,921.00 | $1,360,791.00 | $4,365,146.00 | $4,835,333.00 | $4,835,333.00 | $141,439.00 | $4,693,894.00 | $5,927,990.00 | $-1,234,096.00 | $13,556.00 | $-1,220,540.00 | $-1,220,540.00 | $511,581.00 | $159,171.00 | COOKE, JANICE | 88.71 | 21659 | 1703 | 1100 | $4,835,333.00 | $2,317,853.00 | $3,610,137.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1363270 | 425062 | BLUE RIDGE IN BROOKVIEW HOUSE | 510 THOMPSON STREET | GAFFNEY | SC | 29340 | CHEROKEE | 99942 | R | 2022-01-01 | 2022-11-30 | 4 | 1401 | 23728 | 2117 | 27246 | 132 | 44088 | 43 | 44 | 84 | 171 | 32.58 | 539.27 | 159.33 | 52 | 44 | 81 | 177 | 1401 | 23728 | 2117 | 27246 | 132 | 44088 | 43 | 44 | 84 | 171 | $3,306,547.00 | $3,425,115.00 | $881,364.00 | $532,031.00 | $526,432.00 | $3,315,342.00 | $237,251.00 | $546,742.00 | $1,018,094.00 | $109,096.00 | $122,082.00 | $2,468,584.00 | $209,225.00 | $240,475.00 | $211,451.00 | $136,919.00 | $202,717.00 | $2,882,752.00 | $305,575.00 | $344,389.00 | $24,458.00 | $917,624.00 | $620,571.00 | $620,571.00 | $1,538,195.00 | $1,344,557.00 | $1,344,557.00 | $2,882,752.00 | $5,975,459.00 | $6,964,670.00 | $6,964,670.00 | $1,016,944.00 | $5,947,726.00 | $6,731,662.00 | $-783,936.00 | $1,701,082.00 | $917,146.00 | $917,146.00 | $782,124.00 | $24,890.00 | LIONSTONE HZ OPCO HOLDINGS LLC | 75.73 | 23728 | 1401 | 2117 | $6,964,670.00 | $3,306,547.00 | $3,425,115.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1376631 | 425048 | BLUE RIDGE IN GEORGETOWN LLC | 2715 SOUTH ISLAND ROAD | GEORGETOWN | SC | 29442 | GEORGETOWN | 99942 | R | 2022-01-01 | 2022-12-31 | 4 | 1595 | 17870 | 1535 | 21000 | 84 | 30660 | 27 | 107 | 21 | 155 | 59.07 | 167.01 | 135.48 | 73 | 114 | 27 | 214 | 1595 | 17870 | 1535 | 21000 | 84 | 30660 | 27 | 107 | 21 | 155 | $2,281,751.00 | $1,855,173.00 | $563,231.00 | $467,594.00 | $434,715.00 | $2,281,751.00 | $62,263.00 | $1,206,967.00 | $457,409.00 | $687,642.00 | $1,499,463.00 | $75,000.00 | $75,000.00 | $1,574,463.00 | $13,257.00 | $264,555.00 | $277,812.00 | $33,250.00 | $33,250.00 | $311,062.00 | $1,263,401.00 | $1,263,401.00 | $1,574,463.00 | $4,606,032.00 | $5,169,263.00 | $5,169,263.00 | $558,539.00 | $4,610,724.00 | $4,136,924.00 | $473,800.00 | $546,293.00 | $1,020,093.00 | $1,020,093.00 | $921,232.00 | $71,188.00 | BLUE RIDGE IN GEORGETOWN LLC | 92.50 | 17870 | 1595 | 1535 | $5,169,263.00 | $2,281,751.00 | $1,855,173.00 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1364312 | 425129 | BRIAN CENTER OF ST ANDREWS | 3514 SIDNEY ROAD | COLUMBIA | SC | 29210 | LEXINGTON | 17900 | U | 2022-01-01 | 2022-12-31 | 4 | 1086 | 18052 | 5655 | 24793 | 108 | 39420 | 20 | 3 | 38 | 61 | 54.30 | 6017.33 | 406.44 | 24 | 7 | 50 | 81 | 1086 | 18052 | 5655 | 24793 | 108 | 39420 | 20 | 3 | 38 | 61 | $2,807,154.00 | $6,072,505.00 | $1,424,585.00 | $1,180,978.00 | $445,706.00 | $2,807,154.00 | $-429,471.00 | $1,760,658.00 | $261,630.00 | $6,004.00 | $37,194.00 | $1,315,501.00 | $736,976.00 | $486,853.00 | $409,826.00 | $1,725,327.00 | $1,524,445.00 | $123,471.00 | $-79,150.00 | $75,595.00 | $5,270,393.00 | $5,270,393.00 | $-3,545,066.00 | $-3,545,066.00 | $1,725,327.00 | $5,288,759.00 | $6,614,846.00 | $6,614,846.00 | $542,117.00 | $6,072,729.00 | $8,879,659.00 | $-2,806,930.00 | $1,073,325.00 | $-1,733,605.00 | $-1,733,605.00 | $639,223.00 | $14,349.00 | 83.52 | 18052 | 1086 | 5655 | $6,614,846.00 | $2,807,154.00 | $6,072,505.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1361138 | 425395 | BRIGHTWATER RETIREMENT LLC | 101 BRIGHTWATER DRIVE | MYRTLE BEACH | SC | 29579 | HORRY | 34820 | U | 2022-01-01 | 2022-12-31 | 4 | 6301 | 10656 | 16957 | 67 | 24455 | 284 | 160 | 444 | 22.19 | 38.19 | 295 | 145 | 440 | 6301 | 10656 | 16957 | 67 | 24455 | 284 | 160 | 444 | $5,646,498.00 | $16,609,946.00 | $2,241,231.00 | $1,590,141.00 | $605,569.00 | $5,646,498.00 | $1,752,424.00 | $-2,362.00 | $1,159,550.00 | $200,557.00 | $15,082.00 | $54,579.00 | $1,026,292.00 | $117,683.00 | $7,130,153.00 | $292,587.00 | $6,452,262.00 | $25,976,508.00 | $25,976,508.00 | $33,455,062.00 | $459,602.00 | $1,859,913.00 | $24,549.00 | $2,344,064.00 | $69,597,991.00 | $69,597,991.00 | $71,942,055.00 | $-38,486,993.00 | $-38,486,993.00 | $33,455,062.00 | $7,718,698.00 | $9,959,929.00 | $9,959,929.00 | $2,241,231.00 | $7,718,698.00 | $22,256,444.00 | $-14,537,746.00 | $8,842,136.00 | $-5,695,610.00 | $-5,856,803.00 | $3,567,532.00 | $28,664.00 | 80.90 | 6301 | 10656 | $9,959,929.00 | $5,646,498.00 | $16,609,946.00 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 1363921 | 425398 | BROOKDALE ANDERSON PLACE | 311 SIMPSON ROAD | ANDERSON | SC | 29621-2157 | ANDERSON | 24860 | U | 2022-01-01 | 2022-12-31 | 4 | 1610 | 35291 | 36901 | 160 | 58400 | 49 | 199 | 248 | 32.86 | 43.33 | 50 | 159 | 209 | 1610 | 8487 | 10097 | 44 | 16060 | 49 | 184 | 233 | $2,896,080.00 | $4,622,439.00 | $1,340,545.00 | $836,547.00 | $422,675.00 | $2,896,080.00 | $572.00 | $511,602.00 | $199,920.00 | $10,131.00 | $14,250.00 | $867,686.00 | $57,150.00 | $1,664,795.00 | $4,035.00 | $160,167.00 | $1,448,851.00 | $6,850.00 | $6,850.00 | $2,323,387.00 | $634,033.00 | $52,434.00 | $615.00 | $54,149.00 | $369,333.00 | $1,110,564.00 | $56,764.00 | $56,764.00 | $1,167,328.00 | $1,156,059.00 | $1,156,059.00 | $2,323,387.00 | $2,287,006.00 | $3,577,115.00 | $208,508.00 | $3,785,623.00 | $-2,133,674.00 | $5,919,297.00 | $7,518,519.00 | $-1,599,222.00 | $319,799.00 | $-1,279,423.00 | $-1,279,423.00 | $878,718.00 | $5,936.00 | #N/A | 1610 | 35291 | $3,785,623.00 | $2,896,080.00 | $4,622,439.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1353232 | 425004 | BRUSHY CREEK POST ACUTE | 101 COTTAGE CREEK CIRCLE | GREER | SC | 29650 | GREENVILLE | 24860 | U | 2022-01-01 | 2022-12-31 | 5 | 16990 | 9555 | 23629 | 50174 | 144 | 52560 | 670 | 4 | 1130 | 1804 | 25.36 | 2388.75 | 27.81 | 648 | 19 | 1134 | 1801 | 16990 | 9555 | 23629 | 50174 | 144 | 52560 | 670 | 4 | 1130 | 1804 | $10,691,161.00 | $9,230,081.00 | $12,379,224.00 | $4,341,595.00 | $1,899,321.00 | $10,691,161.00 | $1,000.00 | $2,885,273.00 | $112,132.00 | $25,551.00 | $46,593.00 | $23,805.00 | $9,136,967.00 | $135,027.00 | $219,869.00 | $281,610.00 | $42,460.00 | $9,461,037.00 | $494,220.00 | $420,275.00 | $78,761.00 | $196,527.00 | $1,189,783.00 | $1,189,783.00 | $8,271,254.00 | $8,271,254.00 | $9,461,037.00 | $21,980,759.00 | $34,359,983.00 | $34,359,983.00 | $12,137,531.00 | $22,222,452.00 | $19,921,242.00 | $2,301,210.00 | $37,308.00 | $2,338,518.00 | $2,338,518.00 | $10,360,005.00 | $306,029.00 | COLLINS, BENTON | 97.57 | 9555 | 16990 | 23629 | $34,359,983.00 | $10,691,161.00 | $9,230,081.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1387099 | 425170 | CALHOUN CONVALESCENT CENTER | 601 DANTZLER STREET | SAINT MATTHEWS | SC | 29135 | CALHOUN | 17900 | U | 2021-10-01 | 2022-09-30 | 6 | 3709 | 30783 | 5825 | 40317 | 120 | 43800 | 68 | 84 | 85 | 237 | 54.54 | 366.46 | 170.11 | 68 | 22 | 112 | 202 | 3709 | 30783 | 5825 | 40317 | 120 | 43800 | 68 | 84 | 85 | 237 | $4,174,285.00 | $5,260,565.00 | $3,125,403.00 | $848,827.00 | $423,340.00 | $4,112,843.00 | $1,294,334.00 | $56,469.00 | $2,224,223.00 | $867,891.00 | $568.00 | $1,415,975.00 | $681.00 | $87,919.00 | $174,372.00 | $124,455.00 | $2,867.00 | $2,867.00 | $1,543,297.00 | $238,797.00 | $199,677.00 | $142,843.00 | $172,650.00 | $26,178.00 | $780,145.00 | $234,595.00 | $-2,738,467.00 | $-1,958,322.00 | $3,501,619.00 | $3,501,619.00 | $1,543,297.00 | $8,341,739.00 | $11,459,590.00 | $11,459,590.00 | $2,072,270.00 | $9,387,320.00 | $9,434,850.00 | $-47,530.00 | $383,671.00 | $336,141.00 | $336,141.00 | $2,068,889.00 | $119,239.00 | MCELWEE, MARK | 91.17 | 30783 | 3709 | 5825 | $11,459,590.00 | $4,174,285.00 | $5,260,565.00 | |||||||||||||||||||||||||||||||||||||||
| 1376630 | 425014 | CARLYLE SENIOR CARE OF AIKEN LLC | 123 DUPONT DRIVE | AIKEN | SC | 29801 | AIKEN | 12260 | U | 2021-10-01 | 2022-09-30 | 6 | 2163 | 24015 | 614 | 26792 | 86 | 31390 | 11 | 27 | 8 | 46 | 196.64 | 889.44 | 582.43 | 12 | 16 | 13 | 41 | 2163 | 24015 | 614 | 26792 | 86 | 31390 | 11 | 27 | 8 | 46 | $2,520,607.00 | $3,365,960.00 | $601,166.00 | $519,829.00 | $406,232.00 | $2,520,607.00 | $221,318.00 | $851,422.00 | $36,000.00 | $48,062.00 | $1,085,533.00 | $61,304.00 | $229,044.00 | $147,821.00 | $387,051.00 | $387,051.00 | $1,620,405.00 | $408,348.00 | $216,226.00 | $429,117.00 | $1,262,807.00 | $47,316.00 | $47,316.00 | $1,310,123.00 | $310,282.00 | $310,282.00 | $1,620,405.00 | $6,147,770.00 | $6,748,936.00 | $6,748,936.00 | $1,172,519.00 | $5,576,417.00 | $5,886,567.00 | $-310,150.00 | $100,034.00 | $-210,116.00 | $-1,782.00 | $1,134,163.00 | $156,038.00 | NEW DAY HEALTH VENTURES, LLC | 87.33 | 24015 | 2163 | 614 | $6,748,936.00 | $2,520,607.00 | $3,365,960.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1387100 | 425174 | CARLYLE SENIOR CARE OF BISHOPVILLE | 207 CHAPPELL DRIVE | BISHOPVILLE | SC | 29010 | LEE | 99942 | R | 2021-10-01 | 2022-09-30 | 6 | 4795 | 33382 | 2172 | 40349 | 120 | 43800 | 63 | 50 | 27 | 140 | 76.11 | 667.64 | 288.21 | 39 | 23 | 47 | 109 | 4795 | 33382 | 2172 | 40349 | 120 | 43800 | 63 | 50 | 27 | 140 | $3,877,823.00 | $4,788,889.00 | $1,352,243.00 | $984,603.00 | $657,714.00 | $3,877,823.00 | $143,583.00 | $1,377,039.00 | $102,000.00 | $132,917.00 | $1,552,251.00 | $77,942.00 | $248,875.00 | $184,676.00 | $1,631,412.00 | $1,631,412.00 | $3,368,339.00 | $526,209.00 | $246,812.00 | $444,956.00 | $1,370,663.00 | $577,332.00 | $577,332.00 | $1,947,995.00 | $1,420,344.00 | $1,420,344.00 | $3,368,339.00 | $8,626,257.00 | $8,626,257.00 | $1,345,179.00 | $9,971,436.00 | $453,814.00 | $9,517,622.00 | $8,666,712.00 | $850,910.00 | $922,694.00 | $1,773,604.00 | $1,773,604.00 | $2,545,934.00 | $359,296.00 | GIBBS, JEFFREY | 92.50 | 33382 | 4795 | 2172 | $9,971,436.00 | $3,877,823.00 | $4,788,889.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1376186 | 425163 | CARLYLE SENIOR CARE OF FLORENCE LLC | 133 W CLARKE RD | FLORENCE | SC | 29501 | FLORENCE | 22500 | U | 2021-10-01 | 2022-09-30 | 6 | 3926 | 23340 | 1377 | 28643 | 88 | 32120 | 72 | 70 | 40 | 182 | 54.53 | 333.43 | 157.38 | 44 | 35 | 58 | 137 | 3926 | 23340 | 1377 | 28643 | 88 | 32120 | 72 | 70 | 40 | 182 | $2,935,149.00 | $3,820,365.00 | $1,349,802.00 | $883,445.00 | $462,296.00 | $2,935,149.00 | $318,052.00 | $1,747,822.00 | $367,000.00 | $111,054.00 | $1,811,225.00 | $49,400.00 | $347,280.00 | $203,882.00 | $735,201.00 | $735,201.00 | $2,750,308.00 | $416,828.00 | $189,599.00 | $406,087.00 | $1,090,562.00 | $699,375.00 | $699,375.00 | $1,789,937.00 | $960,371.00 | $960,371.00 | $2,750,308.00 | $6,750,581.00 | $8,100,284.00 | $8,100,284.00 | $627,434.00 | $7,472,850.00 | $6,755,514.00 | $717,336.00 | $518,979.00 | $1,236,315.00 | $1,236,315.00 | $2,003,075.00 | $352,482.00 | SIMON, SHIRLEY | 94.09 | 23340 | 3926 | 1377 | $8,100,284.00 | $2,935,149.00 | $3,820,365.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1387095 | 425093 | CARLYLE SENIOR CARE OF FORK LLC | 1727 BUCK SWAMP ROAD | FORK | SC | 29543 | DILLON | 99942 | R | 2021-10-01 | 2022-09-30 | 6 | 6696 | 30289 | 961 | 37946 | 111 | 40515 | 49 | 47 | 28 | 124 | 136.65 | 644.45 | 306.02 | 47 | 21 | 35 | 103 | 6696 | 30289 | 961 | 37946 | 111 | 40515 | 49 | 47 | 28 | 124 | $3,563,619.00 | $4,801,478.00 | $1,934,883.00 | $1,282,988.00 | $562,288.00 | $3,563,619.00 | $333,344.00 | $1,846,419.00 | $219,000.00 | $239,638.00 | $2,203,033.00 | $17,400.00 | $398,158.00 | $255,879.00 | $450,663.00 | $1,171,130.00 | $1,171,130.00 | $3,824,826.00 | $550,100.00 | $293,322.00 | $496,769.00 | $1,589,830.00 | $701,049.00 | $701,049.00 | $2,290,879.00 | $1,533,947.00 | $1,533,947.00 | $3,824,826.00 | $7,481,918.00 | $9,416,801.00 | $9,416,801.00 | $1,836.00 | $9,414,965.00 | $8,365,097.00 | $1,049,868.00 | $689,335.00 | $1,739,203.00 | $1,739,203.00 | $3,424,420.00 | $621,874.00 | 95.23 | 30289 | 6696 | 961 | $9,416,801.00 | $3,563,619.00 | $4,801,478.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1386050 | 425168 | CARLYLE SENIOR CARE OF FOUNTAIN INN | 501 GULLIVER STREET | FOUNTAIN INN | SC | 29644 | GREENVILLE | 24860 | U | 2021-10-01 | 2022-09-30 | 6 | 2126 | 11500 | 4695 | 18321 | 60 | 21900 | 38 | 16 | 49 | 103 | 55.95 | 718.75 | 177.87 | 46 | 11 | 49 | 106 | 2126 | 11500 | 4695 | 18321 | 60 | 21900 | 38 | 16 | 49 | 103 | $2,089,984.00 | $3,280,926.00 | $599,224.00 | $524,752.00 | $299,575.00 | $2,089,984.00 | $198,782.00 | $772,324.00 | $91,000.00 | $12,228.00 | $894,089.00 | $56,966.00 | $225,083.00 | $154,212.00 | $547,828.00 | $547,828.00 | $1,596,129.00 | $328,509.00 | $126,076.00 | $466,032.00 | $1,037,787.00 | $314,750.00 | $314,750.00 | $1,352,537.00 | $243,592.00 | $243,592.00 | $1,596,129.00 | $4,540,005.00 | $5,139,229.00 | $5,139,229.00 | $37,586.00 | $5,101,643.00 | $5,370,910.00 | $-269,267.00 | $190,202.00 | $-79,065.00 | $-79,065.00 | $1,116,394.00 | $32,952.00 | 97.00 | 11500 | 2126 | 4695 | $5,139,229.00 | $2,089,984.00 | $3,280,926.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1376636 | 425117 | CARLYLE SENIOR CARE OF KINGSTREE L | 401 NELSON BLVD | KINGSTREE | SC | 28556 | WILLIAMSBURG | 99942 | R | 2021-10-01 | 2022-09-30 | 6 | 2152 | 26407 | 2869 | 31428 | 96 | 35040 | 22 | 49 | 76 | 147 | 97.82 | 538.92 | 213.80 | 41 | 19 | 80 | 140 | 2152 | 26407 | 2869 | 31428 | 96 | 35040 | 22 | 49 | 76 | 147 | $3,088,584.00 | $4,030,357.00 | $750,894.00 | $570,268.00 | $468,242.00 | $3,088,584.00 | $216,672.00 | $1,545,334.00 | $271,000.00 | $29,388.00 | $1,520,394.00 | $37,438.00 | $106,223.00 | $102,104.00 | $741,309.00 | $741,309.00 | $2,363,807.00 | $400,098.00 | $269,272.00 | $682,357.00 | $1,481,590.00 | $183,341.00 | $183,341.00 | $1,664,931.00 | $698,876.00 | $698,876.00 | $2,363,807.00 | $6,414,632.00 | $7,165,526.00 | $7,165,526.00 | $137,198.00 | $7,028,328.00 | $7,118,941.00 | $-90,613.00 | $451,802.00 | $361,189.00 | $361,189.00 | $1,170,825.00 | $87,057.00 | SLAVINSKI, CANDICE | 95.10 | 26407 | 2152 | 2869 | $7,165,526.00 | $3,088,584.00 | $4,030,357.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1352464 | 425391 | CAROLINA HEALTHCARE INC. | CAROLINA HEALTHCARE LLC | CONWAY | SC | 29527 | HORRY | 34820 | U | 2022-01-01 | 2022-12-31 | 4 | 8151 | 13406 | 5239 | 26796 | 95 | 34675 | 256 | 3 | 307 | 566 | 31.84 | 4468.67 | 47.34 | 242 | 1 | 332 | 575 | 8151 | 13406 | 5239 | 26796 | 95 | 34675 | 256 | 3 | 307 | 566 | $5,282,740.00 | $4,235,350.00 | $3,948,331.00 | $1,830,622.00 | $754,223.00 | $5,282,740.00 | $20,782.00 | $1,715,052.00 | $557,813.00 | $15,746.00 | $4,149,410.00 | $5,343,177.00 | $16,582.00 | $476,987.00 | $118,586.00 | $5,461,763.00 | $237,126.00 | $289,982.00 | $58,247.00 | $442,529.00 | $1,027,884.00 | $-231,211.00 | $-231,211.00 | $796,673.00 | $4,665,090.00 | $4,665,090.00 | $5,461,763.00 | $6,420,706.00 | $10,369,036.00 | $10,369,036.00 | $-856,505.00 | $11,225,541.00 | $9,518,090.00 | $1,707,451.00 | $330,851.00 | $2,038,302.00 | $2,038,302.00 | $5,374,838.00 | $321,166.00 | 82.32 | 13406 | 8151 | 5239 | $10,369,036.00 | $5,282,740.00 | $4,235,350.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1353241 | 425138 | CHANDLER CREEK POST ACUTE | 401 CHANDLER ROAD | GREER | SC | 29651 | GREENVILLE | 24860 | U | 2022-01-01 | 2022-12-31 | 5 | 2111 | 25869 | 16752 | 44732 | 133 | 48545 | 91 | 21 | 224 | 336 | 23.20 | 1231.86 | 133.13 | 73 | 35 | 224 | 332 | 2111 | 25869 | 16752 | 44732 | 133 | 48545 | 91 | 21 | 224 | 336 | $4,984,140.00 | $7,675,531.00 | $2,929,820.00 | $1,104,086.00 | $825,247.00 | $4,984,140.00 | $1,390,143.00 | $1,964.00 | $2,572,385.00 | $208,684.00 | $13,568.00 | $132,121.00 | $2,511,354.00 | $170,596.00 | $70,780.00 | $320,057.00 | $2,831,411.00 | $456,565.00 | $181,549.00 | $61.00 | $3,888.00 | $2,901,067.00 | $3,543,130.00 | $3,543,130.00 | $-711,719.00 | $-711,719.00 | $2,831,411.00 | $13,613,543.00 | $16,543,363.00 | $16,543,363.00 | $4,531,759.00 | $12,011,604.00 | $12,659,671.00 | $-648,067.00 | $107,551.00 | $-540,516.00 | $-540,516.00 | $1,175,933.00 | $50,492.00 | 90.60 | 25869 | 2111 | 16752 | $16,543,363.00 | $4,984,140.00 | $7,675,531.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1344128 | 425005 | CHERAW HEALTHCARE INC. | 400 MOFFAT ROAD | CHERAW | SC | 29520 | CHESTERFIELD | 99942 | R | 2021-10-01 | 2022-09-30 | 4 | 3432 | 20410 | 6723 | 30565 | 120 | 43800 | 39 | 12 | 43 | 94 | 88.00 | 1700.83 | 325.16 | 41 | 30 | 48 | 119 | 3432 | 20410 | 6723 | 30565 | 120 | 43800 | 39 | 12 | 43 | 94 | $3,717,662.00 | $4,231,956.00 | $1,410,957.00 | $1,077,162.00 | $807,599.00 | $3,717,662.00 | $684,690.00 | $2,400,949.00 | $121,174.00 | $3,206,813.00 | $175,414.00 | $7,445,649.00 | $1,158,180.00 | $2,518,226.00 | $1,892.00 | $1,892.00 | $5,726,931.00 | $203,075.00 | $336,483.00 | $41,854.00 | $115,696.00 | $697,108.00 | 2856553.00 | $2,856,553.00 | $3,553,661.00 | $2,173,270.00 | $2,173,270.00 | $5,726,931.00 | $6,118,267.00 | $7,581,604.00 | $7,581,604.00 | $1,152,553.00 | $6,429,051.00 | $7,949,618.00 | $-1,520,567.00 | $2,194,029.00 | $673,462.00 | $673,462.00 | $1,767,643.00 | DYSON, TEMPLE | 83.25 | 20410 | 3432 | 6723 | $7,581,604.00 | $3,717,662.00 | $4,231,956.00 |
