Total health inspections
13
Pennsylvania average 6.7
Last Health inspection on Nov 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
AristaCare at Meadow Springs
Nursing Home in Montgomery County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
AristaCare at Meadow Springs
Nursing Home in Montgomery County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Aristacare at Meadow Springs
Find the care you need with Aristacare at Meadow Springs, an astounding community set in the peaceful neighborhood of Plymouth Meeting, PA, that offers rehabilitation and skilled nursing. With comprehensive care options, including sub-acute care and rehabilitation, long-term care, transitional care, and ventilator care, residents receive top-tier care and support tailored to their needs and preferences. The community also promotes a cozy and nurturing environment, ensuring residents can feel at ease.
Residents here are encouraged to remain socially active in the community’s luxurious and welcoming setting. Delightful and healthy meals are also served to satisfy residents’ dietary needs and preferences. The community strives to improve residents’ conditions to ensure they get back to their lives without worries and create more meaningful moments in their later years.
Robert Nealon, LNHA, serves as the Administrator at AristaCare at Meadow Springs. He leads the professional care team to ensure high-quality senior living services and compassionate support for residents and their families.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 168th out of 168 homes in Pennsylvania.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 168th out of 168 homes in Pennsylvania.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 25m per day
vs Pennsylvania avg
-42%
Standout metric
Total Nursing (Weekend) is +26% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 36% State avg: 47m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 24m per day | ▲ 9% State avg: 2h 12m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 26m per day | ▲ 26% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ■ Avg State avg: 6m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 39% State avg: 33m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
153
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89%
Avg. Length of Stay
89 days
Occupancy rate
89%
Avg. Length of Stay
89 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
27% of new residents, often for short stays.
Typical stay
26 days
Medicaid
57% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$32.3M
Profit
$525.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$32.3M
Profit
$525.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$13.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$31.8M
Walk Score: 46 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Post-Hospital Care And Rehabilitation
Long Term Care
Specific ProgramsSub-Acute Care and Rehabilitation, Long Term Care, Clinical Excellence, Quality Experience, Specialty Programs
What does this home offer?
Accept Medicaid: Yes
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Recreational Activities
Exercise Programs
Types of Care at AristaCare at Meadow Springs
Nursing Home
Health Inspection History
Inspections
Total health citations
41
Pennsylvania average 31.3
Citations per inspection
3.15
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 41 citations resulted from standard inspections; 17 of 41 resulted from complaint investigations; and 1 of 41 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Pennsylvania averagePennsylvania average: 0.3
Serious Health citations
0
0
100% better than Pennsylvania averagePennsylvania average: 0.6
1 critical citation
0 serious citations
40 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 03, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 03, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 27, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 27, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 27, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Montgomery County The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
Filter by care type
| Gwynedd Healthcare & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lansdale (Sumneytown Pike) | 181 | 92.7% | +18% | 4.09 | -41% | -1% | 1 | 17 | 3.4 | 1 | 172 | - | 8 | Taylor, Michelle | $24.5M | $8.7M | 35.7% | 395479 | ||||
| Ambler Extended Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Ambler (Rose Valley) | 100 | 90.7% | +15% | 3.46 | +5% | -16% | 0 | 11 | 2.8 | 0 | 92 | - | 84 | Meenan, Cody | $13.7M | $5.9M | 43.5% | 395176 | ||||
| Montgomeryville Skilled Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Montgomeryville | 170 | 78.2% | -1% | 7.50 | +27% | +81% | 0 | 40 | 3.3 | 0 | 19 | - | 27 | - | $20.7M | $5.5M | 26.7% | 395796 | ||||
| Markley Rehabilitation & Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Norristown (East Fornance Street) | 121 | 92.5% | +18% | 3.51 | -15% | -15% | 2 | 33 | 3.3 | 2 | 111 | - | 54 | - | $15.8M | $6.3M | 40.1% | 395483 | ||||
| AristaCare at Meadow Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Plymouth Meeting (Hickorytown) | 153 | 89.0% | +13% | 2.42 | -30% | -42% | 2 | 41 | 3.2 | 1 | 143 | - | 46 | Shalom Ubrocha Eh Llc | $32.3M | $13.8M | 42.6% | 395019 |
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8.7 miles from city center
Estimated distance in miles from Plymouth Meeting's city center to AristaCare at Meadow Springs's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
494
Employees
230
Contractors
264
Staff to resident ratio
3.32:1
71% better than Pennsylvania averagePennsylvania average ratio: 1.94:1
Avg staff/day
114
Average shift
8.6 hours
10% better than Pennsylvania averagePennsylvania average: 7.8 hours
Total staff hours (quarter)
88,828
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
115
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
243
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
12%
10,693 contractor hours this quarter
Certified Nursing Assistant: 191
Licensed Practical Nurse: 52
Registered Nurse: 19
Nurse Aide in Training: 2
Staff by category
| Certified Nursing Assistant | 52 | 191 | 243 | 29,124 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 63 | 52 | 115 | 25,343 | 91 | 100% | 9.6 |
| Qualified Activities Professional | 37 | 0 | 37 | 12,539 | 91 | 100% | 9.1 |
| Registered Nurse | 22 | 19 | 41 | 5,030 | 91 | 100% | 8.3 |
| Physical Therapist | 11 | 0 | 11 | 3,077 | 91 | 100% | 6.2 |
| Occupational Therapy Aide | 8 | 0 | 8 | 2,999 | 91 | 100% | 7.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,456 | 69 | 76% | 7.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,294 | 73 | 80% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,082 | 86 | 95% | 7.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,016 | 70 | 77% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 981 | 74 | 81% | 8 |
| Dietitian | 2 | 0 | 2 | 916 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 872 | 67 | 74% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 817 | 69 | 76% | 7.7 |
| Nurse Aide in Training | 9 | 2 | 11 | 673 | 50 | 55% | 6.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 645 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 58 | 64% | 8 |
243 Certified Nursing Assistant
% of Days
100%
115 Licensed Practical Nurse
% of Days
100%
37 Qualified Activities Professional
% of Days
100%
41 Registered Nurse
% of Days
100%
11 Physical Therapist
% of Days
100%
8 Occupational Therapy Aide
% of Days
100%
4 Clinical Nurse Specialist
% of Days
76%
5 Respiratory Therapy Technician
% of Days
80%
3 Other Dietary Services Staff
% of Days
95%
3 Physical Therapy Assistant
% of Days
77%
2 Physical Therapy Aide
% of Days
81%
2 Dietitian
% of Days
70%
2 Mental Health Service Worker
% of Days
74%
2 Qualified Social Worker
% of Days
76%
11 Nurse Aide in Training
% of Days
55%
3 Speech Language Pathologist
% of Days
71%
1 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
64%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
149
Medicare
18
12.1% of residents
Medicaid
107
71.8% of residents
Private pay or other
24
16.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
42% better than Pennsylvania averagePennsylvania average: 11.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.9
82% better than Pennsylvania averagePennsylvania average: 22.2
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.2%
Percent of long-stay residents whose need for help with daily activities has increased
5.2%
73% better than Pennsylvania averagePennsylvania average: 19.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.7%
90% better than Pennsylvania averagePennsylvania average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
56% better than Pennsylvania averagePennsylvania average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
14.0%
Percent of long-stay high risk residents with pressure ulcers
14.0%
153% worse than Pennsylvania averagePennsylvania average: 5.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
53% better than Pennsylvania averagePennsylvania average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
25% better than Pennsylvania averagePennsylvania average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Pennsylvania averagePennsylvania average: 5.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
10% worse than Pennsylvania averagePennsylvania average: 17.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
11% worse than Pennsylvania averagePennsylvania average: 86.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Pennsylvania averagePennsylvania average: 93.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.23
Number of hospitalizations per 1,000 long-stay resident days.
2.23
33% worse than Pennsylvania averagePennsylvania average: 1.68
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.03
14% better than Pennsylvania averagePennsylvania average: 1.20
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
37.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
37.9%
45% worse than Pennsylvania averagePennsylvania average: 68.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
143% worse than Pennsylvania averagePennsylvania average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
13% worse than Pennsylvania averagePennsylvania average: 68.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.5%
23% worse than Pennsylvania averagePennsylvania average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
23% worse than Pennsylvania averagePennsylvania average: 9.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Pennsylvania averagePennsylvania average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
21.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.1%
61% worse than Pennsylvania averagePennsylvania average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
25.2%
Rate of successful return to home or community from a skilled nursing facility.
25.2%
50% worse than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$104K
76% higher than Pennsylvania averagePennsylvania average: $59K
Number of fines
2
In line with Pennsylvania averagePennsylvania average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Pennsylvania averagePennsylvania average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$104K
Pennsylvania average
$59K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 19, 2024
$18K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 15, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 15, 2023
$86K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for AristaCare at Meadow Springs based on CMS SNF Cost Reports.
Occupancy Rate
89.0%
↑ 4.8pp vs 2023
Net Income
$525.9K
↓ ~$3.7M vs 2023
Total Payroll
$18.3M
↑ ~$1.0M vs 2023
Profit Margin
1.6%
↓ 13.1pp vs 2023
Loading trend charts...
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