Show Inspection Reports
Total health inspections
16
Minnesota average 6
Last Health inspection on Sep 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Highland Chateau Health + Rehabilitation Clinic
Nursing Home in St. Paul
Highland Chateau Health + Rehabilitation Clinic
Nursing Home in St. Paul
Highland Chateau Health + Rehabilitation Clinic accepts Medicare, Medicaid, and private pay.
Overview of Highland Chateau Health + Rehabilitation Clinic
Highland Chateau Health + Rehabilitation Clinic is a private 64-bed skilled nursing facility located in St Paul, MN. This premier community offers both short-term and long-term care. Additionally, each resident is provided private accommodation where they can relax and feel at home, without having to worry about housekeeping or laundry.
The staff at Highland Chateau provides each resident with 24/7 care, rehabilitation therapies, as well as meal provisions. A barber and beauty salon is also available on-site for beauty and grooming services. Furthermore, the residents are offered wound and pain management services, in case they need specialized care after a surgery or major operation.
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 41st out of 59 homes in Minnesota.
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 41st out of 59 homes in Minnesota.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.
4h 9m per day
Rank #41 / 59Nurse hours — state benchmarkedThis home is ranked 41st out of 59 homes in Minnesota.Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 59 Minnesota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Minnesota avg
Standout metric
Physical Therapist is +125% 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.
| 50m per day | ▼ 22% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 52m per day | ▲ 41% State avg: 37m per day · National avg: 52m 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 13m per day | ▼ 13% State avg: 2h 33m 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.
| 3h 34m per day | ▼ 3% State avg: 3h 41m 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.
| 9m per day | ▲ 125% State avg: 4m 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.
| 35m per day | ▼ 15% State avg: 41m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
84.4%
Rank #27 / 60Occupancy rate — state benchmarkedThis home is ranked 27th out of 60 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 60. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
78 days
Occupancy rate
84.4%
Rank #27 / 60Occupancy rate — state benchmarkedThis home is ranked 27th out of 60 homes in Minnesota.Shows this facility's occupancy rate versus the Minnesota average, with its statewide rank out of 60. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
78 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
41% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
39% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.6M
Operating loss
-$636.6K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.6M Rank #36 / 59Revenue — state benchmarkedThis home is ranked 36th out of 59 homes in Minnesota.Shows this facility's annual revenue compared to the Minnesota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$636.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #49 / 59Payroll — state benchmarkedThis home is ranked 49th out of 59 homes in Minnesota.Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #49 / 59Payroll — state benchmarkedThis home is ranked 49th out of 59 homes in Minnesota.Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.2M
36 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 59 / 100 Rank #18 / 43Walk Score — state benchmarkedThis home is ranked 18th out of 43 homes in Minnesota.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Minnesota SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
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About this community
Staffing
Key information about the people who lead and staff this community.
ContactMarybeth Lacina, Administrator
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Short-Term Rehabilitation
Comfortable Accommodations
Salon And Spa Services
Reliable Transportation Services
Engaging Programs For Body And Mind
Fine Dining Options
Comfortable Common Areas
Specific ProgramsSkilled Nursing Care, Occupational Therapy, Speech Therapy, Physical Therapy.
Food DescriptionHome-style dining with variety, flexibility, and friendly service.
What does this home offer?
Building Type: Two-story
Types of Care at Highland Chateau Health + Rehabilitation Clinic
Nursing Home
Inspection History
In Minnesota, the Department of Health, Health Regulation Division is the primary authority for conducting onsite inspections and reporting on the quality of care in residential facilities.
16 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
December 30, 2025
Annual Inspection99 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Minnesota average: 10 deficiencies
Inspection Report Summary for Highland Chateau Health + Rehabilitation Clinic
The most recent inspection on December 30, 2025, found deficiencies related to failure to revise a resident’s care plan after condition changes and not designating a registered nurse as the full-time director of nursing. Earlier inspections showed a pattern of deficiencies involving care planning, staffing adequacy, infection control, medication management, and pest control issues, including repeated problems with mice in the facility. Complaint investigations substantiated concerns about neglect in care assistance, medication errors, behavioral health care gaps, and a resident death linked to failure to follow dietary orders. Enforcement actions such as immediate jeopardy findings were noted in prior reports, but fines or license suspensions were not listed in the available reports. The facility’s deficiencies have persisted over time with some corrective actions taken, but recent inspections continue to identify care planning and staffing issues.
Health Inspection History
Inspections
Total health citations
113
Rank #59 / 59Health citations — state benchmarkedThis home is ranked 59th out of 59 homes in Minnesota.Shows this facility's total health deficiency citations benchmarked to the Minnesota state average, with a ranking across all 59 MN SNFs. Lower citation counts earn a better rank.
Minnesota average 23.2
Citations per inspection
7.06
Rank #58 / 59Citations per inspection — state benchmarkedThis home is ranked 58th out of 59 homes in Minnesota.Shows average deficiency citations per CMS inspection for this facility versus the Minnesota mean across 59 SNFs with citation data. Lower is better.
Minnesota average 3.76
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
71 of 113 citations resulted from standard inspections; 37 of 113 resulted from complaint investigations; and 5 of 113 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
329% worse than Minnesota averageMinnesota average: 0.7
Serious Health citations
3
3
500% worse than Minnesota averageMinnesota average: 0.5
3 critical citations
3 serious citations
103 moderate citations
4 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 19, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 19, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 19, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 19, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 19, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 19, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 19, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 19, 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.
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Financial Assistance for
Nursing Home in Minnesota
Highland Chateau Health + Rehabilitation Clinic is located in St Paul, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
Places of interest near Highland Chateau Health + Rehabilitation Clinic
5.1 miles from city center
Estimated distance in miles from St Paul's city center to Highland Chateau Health + Rehabilitation Clinic's address, calculated via Google Maps.
— 1.95 miles to nearest hospital (Minneapolis VA Medical Center)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
123
Employees
67
Contractors
56
Staff to resident ratio
3.00:1
35% better than Minnesota averageMinnesota average ratio: 2.22:1
Avg staff/day
30
Average shift
7.6 hours
0% compared with Minnesota averageMinnesota average: 7.5 hours
Total staff hours (quarter)
20,848
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
69
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.9%
3,111 contractor hours this quarter
Certified Nursing Assistant: 32
Registered Nurse: 15
Licensed Practical Nurse: 9
Staff by category
| Certified Nursing Assistant | 37 | 32 | 69 | 10,125 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 9 | 9 | 18 | 4,085 | 91 | 100% | 8.8 |
| Registered Nurse | 6 | 15 | 21 | 2,859 | 91 | 100% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 891 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 526 | 64 | 70% | 8.2 |
| Physical Therapy Aide | 4 | 0 | 4 | 522 | 64 | 70% | 6.4 |
| Dietitian | 1 | 0 | 1 | 513 | 65 | 71% | 7.9 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 230 | 64 | 70% | 3.6 |
| Physical Therapy Assistant | 4 | 0 | 4 | 130 | 49 | 54% | 2.2 |
69 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
21 Registered Nurse
% of Days
100%
2 Clinical Nurse Specialist
% of Days
71%
1 Mental Health Service Worker
% of Days
70%
4 Physical Therapy Aide
% of Days
70%
1 Dietitian
% of Days
71%
1 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
66%
1 Respiratory Therapy Technician
% of Days
70%
4 Physical Therapy Assistant
% of Days
54%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41
Medicare
3
7.3% of residents
Medicaid
33
80.5% of residents
Private pay or other
5
12.2% of residents
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.
12.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
16% worse than Minnesota averageMinnesota average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.2
20% worse than Minnesota averageMinnesota average: 22.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.2%
Percent of long-stay residents whose need for help with daily activities has increased
23.2%
22% worse than Minnesota averageMinnesota average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.4%
Percent of long-stay residents whose ability to move independently worsened
32.4%
36% worse than Minnesota averageMinnesota average: 23.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with Minnesota averageMinnesota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
85% better than Minnesota averageMinnesota average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
9% worse than Minnesota averageMinnesota average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Minnesota averageMinnesota average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.5%
Percent of long-stay residents who lose too much weight
2.5%
40% better than Minnesota averageMinnesota average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.3%
Percent of long-stay residents who have depressive symptoms
7.3%
67% worse than Minnesota averageMinnesota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.9%
Percent of long-stay residents who received an antipsychotic medication
11.9%
31% better than Minnesota averageMinnesota average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
16% worse than Minnesota averageMinnesota average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
14% worse than Minnesota averageMinnesota average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
23% worse than Minnesota averageMinnesota average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
22% better than Minnesota averageMinnesota average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
31% worse than Minnesota averageMinnesota average: 82.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
34% worse than Minnesota averageMinnesota average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
55% better than Minnesota averageMinnesota average: 14.0%
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 Minnesota averageMinnesota average: 0.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
41.8%
Rate of successful return to home or community from a skilled nursing facility.
41.8%
17% worse than Minnesota averageMinnesota 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
$101K
128% higher than Minnesota averageMinnesota average: $44K
Number of fines
4
99% more fines than Minnesota averageMinnesota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
130% more payment denials than Minnesota averageMinnesota average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$101K
Minnesota average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
$48K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2024
$17K
Last updated: Jan 2026
Compare Nursing Homes around Minneapolis The information below is reported by the Minnesota Department of Health, Health Regulation Division.
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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). | Minneapolis (Standish) | 190 | 78.6% | -1% | 3.79 | -37% | -21% | 5 | 46 | 3.8 | 4 | 150 | - | 72 | Brooks, Michael | $20.1M | $8.6M | 42.7% | 245271 | ||||
| Lakehouse Healthcare and Rehabilitation Center |
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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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Minneapolis (Southwest Minneapolis) | 260 | 80.9% | +2% | 3.91 | -25% | -18% | 0 | 76 | 5.1 | 1 | 224 | - | 81 | Lake Harriet Operator Holdings Llc | $22.3M | $8.9M | 39.8% | 245055 | ||||
| Highland Chateau Health + Rehabilitation Clinic | - |
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). | St Paul (Highland Park) | 64 | 84.0% | +5% | 4.15 | - | - | - | +25% | -13% | 4 | 113 | 7.1 | 6 | 51 | A+ | 59 | Parence, Marcus | $10.6M | $3.6M | 33.8% | 245028 |
Financial Trends
Historical financial and operational data for Highland Chateau Health + Rehabilitation Clinic based on CMS SNF Cost Reports.
Occupancy Rate
84.0%
↓ 2.0pp vs 2022
Net Income
-$636.6K
↑ ~$23.1K vs 2022
Total Payroll
$4.9M
↑ ~$2.1M vs 2022
Profit Margin
-6.2%
↑ 5.5pp vs 2022
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